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NPI Code Detail

MEDICARE: WILLIAM C SHEPHERD M.D.

MEDICARE: WILLIAM C SHEPHERD M.D.
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
1207P00000XEmergency Medicine PhysicianMD073489PA
2207P00000XEmergency Medicine Physician222459NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821071499
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM C SHEPHERD M.D.
Provider Business Mailing Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6336
Fax Number : 607-844-3077
Provider Business Practice Location Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6336
Fax Number : 607-844-3077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 02/05/2024

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Directions to “ WILLIAM C SHEPHERD M.D.” Practice Location

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