Individual
DR. RONALD G SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8208 ALLISONVILLE RD., INDIANAPOLIS, IN 46250
(317) 849-1222
Mailing address
8208 ALLISONVILLE RD, INDIANAPOLIS, IN 46250
(317) 849-1222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000647A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000078910
ANTHEM BCBS
IN
05
—
100218980A
—
IN
Enumeration date
12/05/2006
Last updated
08/02/2017
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