Shields, Christopher C

Shields, Christopher C is an individual health care provider with primary practice located at 1125 W Alameda Rd , Pocatello ID 83201-6143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Shields, Christopher C can be contacted via phone (208) 237-1151.

Contact Information

Primary practice address
1125 W Alameda Rd Pocatello ID 83201-6143
Phone: (208) 237-1151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M4528 Idaho
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X M4528 Idaho

Profile Details

NPI number 1285633065
LBN Legal business name Shields, Christopher C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Apr 4th, 2018 - about 7 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 1285633065 NPPES
Idaho MEDICAID 003933100

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