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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164516555 | NPPES |
| New Mexico | MEDICAID | 000N4748 |
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