Sheppard, Krista J.
Sheppard, Krista J. is an individual health care provider with primary practice located at 1111 Trinity Ln Suite 111, Bloomington IL 61704-8111. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Sheppard, Krista J. can be contacted via phone (309) 663-6461.Contact Information
Primary practice address
1111 Trinity Ln Suite 111
Bloomington IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 661-8107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-010448 | Illinois |
Profile Details
| NPI number | 1669471769 |
|---|---|
| LBN Legal business name | Sheppard, Krista J. |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jan 11th, 2018 - about 8 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 | 1669471769 | NPPES |
| Illinois | Other | 070.010448 | STATE OF ILLINOIS LICENSE |
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