Shields, Roberta
Shields, Roberta is an sole proprietor health care provider with primary practice located at 5 Miles South Of Teesto Chapter , Winslow AZ 86047-7026. She recently has 6 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Shields, Roberta can be contacted via phone (928) 657-3548.Contact Information
Primary practice address
5 Miles South Of Teesto Chapter
Winslow AZ 86047-7026
Phone: (928) 657-3548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1316150394 |
|---|---|
| LBN Legal business name | Shields, Roberta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316150394 | NPPES |
| Arizona | Other | 147497 | STATE PROVIDER ID |
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