Ole Verni Shepherd in St James - Physician Assistant
Ole Verni Shepherd - NPI 1659318228
Ole Verni Shepherd is a Physician Assistant in St James, Minnesota. Ole Verni Shepherd practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ole Verni Shepherd is 1659318228. The last update date is 2012-05-25.
Ole Verni Shepherd's current location address is Rr 2 Box 196, St James, Minnesota. You can contact this provider via phone number 5073277698. The mailing address for Ole Verni Shepherd is Rr 2 Box 196, St James, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ole Verni Shepherd |
|---|---|
| Address | Rr 2 Box 196, St James, Minnesota |
| Phone Number | 5073277698 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1659318228 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2012-05-25 |
Provider Mailing Address Detail
| Address | Rr 2 Box 196 |
|---|---|
| City | St James |
| State | Minnesota (MN) |
| Post Code | 560819653 |
| Phone Number | 5073277698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1517-023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292820500 | MN | -- | |
| 41966500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ole Verni Shepherd by the Centers for Medicare & Medicaid Services (CMS)?
The Ole Verni Shepherd has been assigned the NPI (National Provider Identifier) 1659318228. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Ole Verni Shepherd's facilities are situated?
The facilities of Ole Verni Shepherd are physically located at the following address: Rr 2 Box 196, St James, MN, 560819653.
What is Ole Verni Shepherd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ole Verni Shepherd is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659318228 to Ole Verni Shepherd?
The Centers for Medicare & Medicaid Services assigned the 1659318228 to Ole Verni Shepherd on 2006-06-01.
As of what date were the details pertaining to Ole Verni Shepherd last refreshed?
The information related to the Ole Verni Shepherd, including its address, specialty, and other relevant details, was last updated on 2012-05-25.