Neuberger, David Tyler Shields

Neuberger, David Tyler Shields is an individual health care provider with primary practice located at 2401 Terra Crossing Blvd # 101 , Louisville KY 40245-5395. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Neuberger, David Tyler Shields can be contacted via phone (502) 210-4600.

Contact Information

Primary practice address
2401 Terra Crossing Blvd # 101 Louisville KY 40245-5395
Phone: (502) 210-4600
Fax: (502) 210-4602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56833 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 56833 Kentucky

Profile Details

NPI number 1205399169
LBN Legal business name Neuberger, David Tyler Shields
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Aug 15th, 2022 - about 2 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 1205399169 NPPES
Kentucky MEDICAID 7100832740
Kentucky MEDICAID 300065259

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