Shields, Lawrence W

Shields, Lawrence W is an individual health care provider with primary practice located at 736 E Park Ave , Long Beach NY 11561-2605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Shields, Lawrence W can be contacted via phone (516) 889-1424.

Contact Information

Primary practice address
736 E Park Ave Long Beach NY 11561-2605
Phone: (516) 889-1424
Fax: (516) 432-3151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 1005669 New York

Profile Details

NPI number 1699960617
LBN Legal business name Shields, Lawrence W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 19 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 1699960617 NPPES
Other 1005669 CPNN

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