Shields, Paul Eugene
Shields, Paul Eugene is an individual health care provider with primary practice located at 2501 W 12Th St Suite 1, Erie PA 16505-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shields, Paul Eugene can be contacted via phone (814) 806-1144.Contact Information
Primary practice address
2501 W 12Th St Suite 1
Erie PA 16505-4527
Phone: (814) 806-1144
Fax: (814) 833-0659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS010676L | Pennsylvania |
Profile Details
| NPI number | 1508861949 |
|---|---|
| LBN Legal business name | Shields, Paul Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Oct 10th, 2019 - about 6 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 | 1508861949 | NPPES |
| New York | MEDICAID | 03446839 | |
| New York | Other | 001370726 | |
| New York | MEDICAID | 0018397920004 |
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