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Contact Information

BRADLEY M SHEPHERD, D.C.
205 BOUTZ ROAD
BUILDING 4 SUITE 2
LAS CRUCES, NM88005
 Phone: 575-915-1550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADLEY M SHEPHERD · (Male)

NPI # 1598915241
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/30/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 2107
  • TX License # 14070
  • UT License # 71183171202
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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