Shields, Gordon Albert
Shields, Gordon Albert is an individual health care provider with primary practice located at 302 Merchants Walk Ste 100 , Tuscaloosa AL 35406-2291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shields, Gordon Albert can be contacted via phone (205) 523-9300.Contact Information
Primary practice address
302 Merchants Walk Ste 100
Tuscaloosa AL 35406-2291
Phone: (205) 523-9300
Fax: (205) 523-9301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 00026424 | Alabama |
Profile Details
| NPI number | 1922059997 |
|---|---|
| LBN Legal business name | Shields, Gordon Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1922059997 | NPPES |
| Alabama | MEDICAID | 009994165 | |
| Alabama | Other | 51000907 |
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