Shields, Michael S.
Shields, Michael S. is an individual health care provider with primary practice located at 221 Allen St , Owensboro KY 42303-4139. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shields, Michael S. can be contacted via phone (270) 685-4966.Contact Information
Primary practice address
221 Allen St
Owensboro KY 42303-4139
Phone: (270) 685-4966
Fax: (270) 686-8058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0871DT | Kentucky |
Profile Details
| NPI number | 1609875848 |
|---|---|
| LBN Legal business name | Shields, Michael S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Dec 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609875848 | NPPES |
| Kentucky | Other | 000000049823 | ANTHEM |
| Kentucky | MEDICAID | 77008712 | ANTHEM |
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