Dr. Michaela Shepphard
Emergency Medical Services
400 N Mcdowell Blvd
Petaluma
, California 94954-2339
Dr. Michaela Shepphard
Emergency Medical Services
400 N Mcdowell Blvd
Petaluma
, California 94954-2339
(707) 778-1111
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Michaela Shepphard
- 400 N Mcdowell Blvd
- Petaluma, CA
- Zip : 94954-2339
- Phone : (707) 778-1111
Second Address
- Dr. Michaela Shepphard
- 400 N Mcdowell Blvd
- Petaluma, CA
- Zip : 94954-2339
- Phone : (707) 778-1111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | G54239 | CA |
National Provider Identifier
| NPI | 1154356509 |
|---|---|
| Provider Name | Dr. Michaela Shepphard |
| First Address | Petaluma, CA 94954-2339 |
| Second Address | Petaluma, CA 94954-2339 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 14/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D33347 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.