Blick, Shawn D
Blick, Shawn D is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 304, Goodyear AZ 85395-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blick, Shawn D can be contacted via phone (623) 935-5522.Contact Information
Primary practice address
13555 W Mcdowell Rd Suite 304
Goodyear AZ 85395-2624
Phone: (623) 935-5522
Fax: (623) 935-3220
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 27246 | Arizona |
Profile Details
NPI number | 1912970609 |
---|---|
LBN Legal business name | Blick, Shawn D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2006 |
Last updated | Dec 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912970609 | NPPES |
Arizona | Other | 11089159 | MULTIPLAN |
Arizona | Other | 5978744 | MULTIPLAN |
Arizona | Other | 11028124 | MULTIPLAN |
Arizona | MEDICAID | 460832 | MULTIPLAN |
Arizona | Other | AZ0720790 | MULTIPLAN |
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