Bruce G Shepard in Kitty Hawk - Professional
Bruce G Shepard - NPI 1770768491
Bruce G Shepard is a Professional in Kitty Hawk, North Carolina. Bruce G Shepard practices all healthcare services and medical treatments related to Professional. The NPI Number for Bruce G Shepard is 1770768491. The last update date is 2007-12-31.
Bruce G Shepard's current location address is 108 Pinnacle Court, Kitty Hawk, North Carolina. You can contact this provider via phone number 2522615454. The mailing address for Bruce G Shepard is 108 Pinnacle Court, Kitty Hawk, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce G Shepard |
|---|---|
| Address | 108 Pinnacle Court, Kitty Hawk, North Carolina |
| Phone Number | 2522615454 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1770768491 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2007-12-31 |
Provider Mailing Address Detail
| Address | 108 Pinnacle Court |
|---|---|
| City | Kitty Hawk |
| State | North Carolina (NC) |
| Post Code | 279495911 |
| Phone Number | 2522615454 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 480 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75788 | NC | BCBSNC |
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What is the unique identification code assigned to Bruce G Shepard by the Centers for Medicare & Medicaid Services?
The Bruce G Shepard has been issued the NPI (National Provider Identifier) 1770768491. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bruce G Shepard's physical address?
The Bruce G Shepard is physically located at 108 Pinnacle Court, in the city of Kitty Hawk, NC, with the postal code 279495911.
What is the Bruce G Shepard's specialty and taxonomy code?
The Bruce G Shepard's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
When did the Bruce G Shepard receive its 1770768491?
The Bruce G Shepard was issued its 1770768491 on 2007-12-31, which is the date when the organization was assigned this unique identifier.
When was the Bruce G Shepard's information last updated?
The Bruce G Shepard's information was last updated on 2007-12-31.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH