MEDICARE: ERICA LOUISE SHEPARD MACOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	13429	CA

General Provider Information

NPI Number	:	1437473139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA LOUISE SHEPARD MACOM

Provider Business Mailing Address
First Line	:	2943 SEMINOLE DR
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-3496
Country	:	US
Telephone Number	:	530-510-2725
Fax Number	:

Provider Business Practice Location Address
First Line	:	3665 EUREKA WAY
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-0177
Country	:	US
Telephone Number	:	530-510-2725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	01/24/2025

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