Sheppard, Sandy

Sheppard, Sandy is an sole proprietor health care provider with primary practice located at 700 South Ave W Ste. G, Missoula MT 59801-8000. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sheppard, Sandy can be contacted via phone (406) 549-4851.

Contact Information

Primary practice address
700 South Ave W Ste. G Missoula MT 59801-8000
Fax: (406) 549-8486
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 494 Montana

Profile Details

NPI number 1548310287
LBN Legal business name Sheppard, Sandy
Credentials OD PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated May 26th, 2010 - about 16 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 1548310287 NPPES
Montana Other 27640 BCBS
Montana MEDICAID 0482120 BCBS

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