Shields, Michael Lee

Shields, Michael Lee is an sole proprietor health care provider with primary practice located at 101 Adison Street , Livingston AL 35470. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Shields, Michael Lee can be contacted via phone (770) 880-1888.

Contact Information

Primary practice address
101 Adison Street Livingston AL 35470
Phone: (770) 880-1888
Fax: (205) 652-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1202 Alabama

Profile Details

NPI number 1437428992
LBN Legal business name Shields, Michael Lee
Credentials MAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2011
Last updated Dec 29th, 2011 - about 15 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 1437428992 NPPES
Alabama Other 22 ATHLETIC TRAINER

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