Shields, Christopher B

Shields, Christopher B is an individual health care provider with primary practice located at 210 E Gray St Ste 1105, Louisville KY 40202-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Shields, Christopher B can be contacted via phone (502) 583-1609.

Contact Information

Primary practice address
210 E Gray St Ste 1105 Louisville KY 40202-3900
Fax: (502) 583-2120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 17534 Kentucky

Profile Details

NPI number 1639168313
LBN Legal business name Shields, Christopher B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jan 21st, 2021 - about 4 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 1639168313 NPPES
Other 102621 NNIKY/SIIHO
Other 50022340 NNIKY/SIIHO
Other 000023035F NNIKY/SIIHO
MEDICAID 64175342 NNIKY/SIIHO
Other P00739669 NNIKY/SIIHO
Other 0019138 NNIKY/SIIHO
Other 36941900 NNIKY/SIIHO

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