Individual
ETHAN JOSEPH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14210 ARBOR ST STE A, OMAHA, NE 68144-2382
(531) 999-1133
Mailing address
7925 CURTIS AVE, OMAHA, NE 68134-8116
(402) 213-4687
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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