Sheppard, Geron F.
Sheppard, Geron F. is an sole proprietor health care provider with primary practice located at 11234 Anderson St A108, Loma Linda CA 92354-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sheppard, Geron F. can be contacted via phone (909) 558-7171.Contact Information
Primary practice address
11234 Anderson St A108
Loma Linda CA 92354-2804
Phone: (909) 558-7171
Fax: (909) 558-0121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G064395 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2011001502 | Missouri |
Profile Details
| NPI number | 1063452159 |
|---|---|
| LBN Legal business name | Sheppard, Geron F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 2nd, 2015 - about 11 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 | 1063452159 | NPPES |
| Missouri | MEDICAID | PENDING |
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