Shields, Glenn

Shields, Glenn is an individual health care provider with primary practice located at 2025 Soquel Ave , Santa Cruz CA 95062-1323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shields, Glenn can be contacted via phone (831) 423-4111.

Contact Information

Primary practice address
2025 Soquel Ave Santa Cruz CA 95062-1323
Phone: (831) 423-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A64298 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A64298 California

Profile Details

NPI number 1538149877
LBN Legal business name Shields, Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 25th, 2021 - about 3 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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