Shildt, Richard Allen

Shildt, Richard Allen is an individual health care provider with primary practice located at 14200 W Celebrate Life Way , Goodyear AZ 85338-3007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shildt, Richard Allen can be contacted via phone (623) 207-3390.

Contact Information

Primary practice address
14200 W Celebrate Life Way Goodyear AZ 85338-3007
Phone: (623) 207-3390
Fax: (623) 932-8592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 13485 Oklahoma

Profile Details

NPI number 1154428795
LBN Legal business name Shildt, Richard Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154428795 NPPES
Oklahoma MEDICAID 100209440B

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