Doctor Name: | ERIN G SHEPPARD |
NPI Number: | 1073746095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LP |
License Number: | 6301013999 |
Business Practice Address: | 1575 Concentric Blvd Ste. 1 Saginaw, MI - 486049312 |
Business Phone Number: | 9895836800 |
Business Fax Number: | 9895836915 |
Mailing Address: | 1000 Houghton Ave, SAGINAW |
State: | MI |
Postal Code: | 486025303 |
Phone Number: | 9895836800 |
Fax Number: | 9895836915 |
NPI Enumeration Date: | 08/25/2009 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 6301013999 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |