Shields, Peter Gary
Shields, Peter Gary is an individual health care provider with primary practice located at 460 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Shields, Peter Gary can be contacted via phone (614) 293-6529.Contact Information
Primary practice address
460 W 10Th Ave
Columbus OH 43210-1240
Phone: (614) 293-6529
Fax: (614) 293-9469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 35.098508 | Ohio |
Profile Details
| NPI number | 1033119896 |
|---|---|
| LBN Legal business name | Shields, Peter Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Apr 1st, 2024 - about 8 months 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 | 1033119896 | NPPES |
| Ohio | MEDICAID | 0059898 |
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