Shields, Jessie
Shields, Jessie is an individual health care provider with primary practice located at 1600 Medical Center Dr Sutie 3500, Huntington WV 25701-3656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shields, Jessie can be contacted via phone (304) 691-1300.Contact Information
Primary practice address
1600 Medical Center Dr Sutie 3500
Huntington WV 25701-3656
Phone: (304) 691-1300
Fax: (304) 691-1375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22273 | West Virginia |
Profile Details
| NPI number | 1023036290 |
|---|---|
| LBN Legal business name | Shields, Jessie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023036290 | NPPES |
| West Virginia | MEDICAID | 3810006269 |
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