Shepherd, Rebecca
Shepherd, Rebecca is an sole proprietor health care provider with primary practice located at 403 Sycamore St , Williamsburg KY 40769-1153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shepherd, Rebecca can be contacted via phone (606) 549-8244.Contact Information
Primary practice address
403 Sycamore St
Williamsburg KY 40769-1153
Phone: (606) 549-8244
Fax: (606) 549-0354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3008495 | Kentucky |
Profile Details
| NPI number | 1710300660 |
|---|---|
| LBN Legal business name | Shepherd, Rebecca |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2014 |
| Last updated | Dec 2nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710300660 | NPPES |
| Kentucky | Other | P01510190 | RR MEDICARE |
| Kentucky | MEDICAID | 7100363990 | RR MEDICARE |
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