Shields, Philip T

Shields, Philip T is an individual health care provider with primary practice located at 465 Saint Michaels Dr Suite 107, Santa Fe NM 87505-7670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Shields, Philip T can be contacted via phone (505) 988-3233.

Contact Information

Primary practice address
465 Saint Michaels Dr Suite 107 Santa Fe NM 87505-7670
Phone: (505) 988-3233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 200199 New Mexico

Profile Details

NPI number 1164516555
LBN Legal business name Shields, Philip T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 24th, 2012 - about 12 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 1164516555 NPPES
New Mexico MEDICAID 000N4748

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