Shields, Douglas A.
Shields, Douglas A. is an individual health care provider with primary practice located at 125 Hospital Dr , Spruce Pine NC 28777-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shields, Douglas A. can be contacted via phone (828) 765-4201.Contact Information
Primary practice address
125 Hospital Dr
Spruce Pine NC 28777-3035
Phone: (828) 765-4201
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E4736 | Tennessee |
Profile Details
NPI number | 1891717815 |
---|---|
LBN Legal business name | Shields, Douglas A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | May 2nd, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891717815 | NPPES |
Kentucky | Other | P00384358 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 204445209 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 5630460000 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 010210364 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 00125794 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 3813512 | MEDICARE RAILROAD |
Kentucky | Other | P0029524 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 162345001 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 3813511 | MEDICARE RAILROAD |
Kentucky | MEDICAID | 64338304 | MEDICARE RAILROAD |
Kentucky | Other | 50007474 | MEDICARE RAILROAD |
Kentucky | Other | P00378743 | MEDICARE RAILROAD |
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