Deshields, Michael S

Deshields, Michael S is an sole proprietor health care provider with primary practice located at 801 New York Ave , Trenton NJ 08638-3913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Public Health or Welfare. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Deshields, Michael S can be contacted via phone (609) 393-8000.

Contact Information

Primary practice address
801 New York Ave Trenton NJ 08638-3913
Phone: (609) 393-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 25MA04362400 New Jersey
Agencies / Public Health or Welfare 251K00000X 25MA04362400 New Jersey

Profile Details

NPI number 1245345743
LBN Legal business name Deshields, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 3rd, 2019 - about 6 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 1245345743 NPPES
New Jersey MEDICAID 3193608

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