Shields, Nathan R.

Shields, Nathan R. is an individual health care provider with primary practice located at 3066 E Meridian Park Loop Ste 101 , Wasilla AK 99654. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical is his primary health care specialty. Shields, Nathan R. can be contacted via phone (907) 205-5945.

Contact Information

Primary practice address
3066 E Meridian Park Loop Ste 101 Wasilla AK 99654
Phone: (907) 205-5945
Fax: (907) 205-5948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5063 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical 2251E1300X 109306 Alaska

Profile Details

NPI number 1861466484
LBN Legal business name Shields, Nathan R.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 18th, 2018 - about 8 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 1861466484 NPPES
Alaska MEDICAID 1651715

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