Sheppard, Sam A

Sheppard, Sam A is an individual health care provider with primary practice located at 145 River Landing Dr Unit 101A , Daniel Island SC 29492-8612. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sheppard, Sam A can be contacted via phone (843) 834-6406.

Contact Information

Primary practice address
145 River Landing Dr Unit 101A Daniel Island SC 29492-8612
Phone: (843) 834-6406
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 040635 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10325 South Carolina

Profile Details

NPI number 1124541537
LBN Legal business name Sheppard, Sam A
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2017
Last updated Jan 9th, 2023 - about 3 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 1124541537 NPPES
South Carolina Other 10325 SC STATE LICENSE

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