Shepherd, Michael D

Shepherd, Michael D is an sole proprietor health care provider with primary practice located at 1100 East Third Street , Chattanooga TN 37403-2241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shepherd, Michael D can be contacted via phone (423) 778-8837.

Contact Information

Primary practice address
1100 East Third Street Chattanooga TN 37403-2241
Fax: (423) 778-9301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G459940 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48225 Tennessee

Profile Details

NPI number 1962481713
LBN Legal business name Shepherd, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Mar 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962481713 NPPES
California Other 770560203 0005 CIGNA
California Other ZZZ43971Z CIGNA
California Other 770560203 CIGNA
California MEDICAID 00G459940 CIGNA

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