Shields, J William

Shields, J William is an sole proprietor health care provider with primary practice located at 373 White Spruce Blvd , Rochester NY 14623-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shields, J William can be contacted via phone (585) 424-5665.

Contact Information

Primary practice address
373 White Spruce Blvd Rochester NY 14623-1603
Phone: (585) 424-5665
Fax: (585) 424-1273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 130129 New York

Profile Details

NPI number 1902868110
LBN Legal business name Shields, J William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Jul 14th, 2010 - about 14 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 1902868110 NPPES
New York MEDICAID 005239003.

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