Shiels, Mark T

Shiels, Mark T is an individual health care provider with primary practice located at 401 Roxbury Rd , Rockford IL 61107-5075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shiels, Mark T can be contacted via phone (815) 397-7340.

Contact Information

Primary practice address
401 Roxbury Rd Rockford IL 61107-5075
Phone: (815) 397-7340
Fax: (815) 397-2156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36072619 Illinois

Profile Details

NPI number 1104812023
LBN Legal business name Shiels, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 6th, 2007 - about 17 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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