Shields, Stephen J

Shields, Stephen J is an sole proprietor health care provider with primary practice located at 1211 Reynolds Ave , Clearwater FL 33756-3353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shields, Stephen J can be contacted via phone (727) 466-6564.

Contact Information

Primary practice address
1211 Reynolds Ave Clearwater FL 33756-3353
Phone: (727) 466-6564
Fax: (727) 466-9434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME053720 Florida

Profile Details

NPI number 1427018506
LBN Legal business name Shields, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Jan 22nd, 2013 - about 11 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 1427018506 NPPES
Florida Other AO434 MEDICARE PTAN
Florida MEDICAID 049420800 MEDICARE PTAN

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