Jacob Charles Shepard
Jacob Charles Shepard is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
750 E Adams StSyracuse, NY 13210-1834
Phone: (315) 464-5540
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1558158451 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2025 |
| Last updated in NPPES | April 23, 2025 |
| Certification date | April 23, 2025 |
| Mailing address | 50 Presidential Plz Apt 2401, Syracuse, NY 13202-2398 |
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