Frederick Knight Sheppard
Independent Medical Examiner Chiropractic Sports Physician Chiropractor Orthopedic Specialist and 2 more
2649 Bay Settlement Rd
Green Bay
, Wisconsin 54311-7328
Frederick Knight Sheppard
Independent Medical Examiner Chiropractic Sports Physician Chiropractor Orthopedic Specialist and 2 more
2649 Bay Settlement Rd
Green Bay
, Wisconsin 54311-7328
(906) 370-8335
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About
Features
Specialties
- Independent Medical Examiner
- Chiropractic Sports Physician
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Frederick Knight Sheppard
- 2649 Bay Settlement Road
- Green Bay, WI
- Zip : 54311
- Phone : (906) 370-8335
Second Address
- Frederick Knight Sheppard
- 2649 Bay Settlement Rd
- Green Bay, WI
- Zip : 54311-7328
- Phone : (906) 370-8335
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NI0013X | Independent Medical Examiner | 1883 | WI |
| N | 111NI0013X | Independent Medical Examiner | 2301005616 | MI |
| N | 111NS0005X | Chiropractic Sports Physician | 1883 | WI |
| N | 111NS0005X | Chiropractic Sports Physician | 2301005616 | MI |
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1883 | WI |
| N | 111NX0800X | Chiropractor Orthopedic Specialist | 2301005616 | MI |
National Provider Identifier
| NPI | 1760727937 |
|---|---|
| Provider Name | Frederick Knight Sheppard |
| First Address | Green Bay, WI 54311 |
| Second Address | Green Bay, WI 54311-7328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2012 |
| Last Update Date | 29/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E30003847 | (05) | WI |
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.