Shields, Antoinette

Shields, Antoinette is an sole proprietor health care provider with primary practice located at 459 Philo Rd , Elmira NY 14903-1051. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Shields, Antoinette can be contacted via phone (607) 739-3581.

Contact Information

Primary practice address
459 Philo Rd Elmira NY 14903-1051
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 310804-1 New York

Profile Details

NPI number 1538627120
LBN Legal business name Shields, Antoinette
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2019
Last updated Mar 4th, 2019 - about 5 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 1538627120 NPPES
New York Other 310804-1 RN LICENSE NUMBER

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