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
Fax: (623) 935-3220
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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