Shields, Chris

Shields, Chris is an individual health care provider with primary practice located at 9890B Windsor Lake Blvd , Columbia SC 29223-2028. He recently has only one registered license in Nursing Service Providers / Administrator, which is considered as his primary health care specialty. Shields, Chris can be contacted via phone (803) 888-7800.

Contact Information

Primary practice address
9890B Windsor Lake Blvd Columbia SC 29223-2028
Phone: (803) 888-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 218086 South Carolina

Profile Details

NPI number 1356054910
LBN Legal business name Shields, Chris
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2022
Last updated Dec 28th, 2022 - about 3 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 1356054910 NPPES
South Carolina MEDICAID EX2005

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