Shields, Rebecca
Shields, Rebecca is an sole proprietor health care provider with primary practice located at 2554 Palmer Park Blvd , Colorado Springs CO 80909-3058. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Shields, Rebecca can be contacted via phone (719) 634-1851.Contact Information
Primary practice address
2554 Palmer Park Blvd
Colorado Springs CO 80909-3058
Phone: (719) 634-1851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Colorado |
Profile Details
| NPI number | 1649620691 |
|---|---|
| LBN Legal business name | Shields, Rebecca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2016 |
| Last updated | Jun 20th, 2016 - about 9 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 | 1649620691 | NPPES |
| Colorado | MEDICAID | 99687569 |
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