Shields, Patricia Larson

Shields, Patricia Larson is an individual health care provider with primary practice located at 417 N Main St Suite 105, Mitchell SD 57301-2655. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Shields, Patricia Larson can be contacted via phone (605) 996-0281.

Contact Information

Primary practice address
417 N Main St Suite 105 Mitchell SD 57301-2655
Phone: (605) 996-0281
Fax: (605) 996-6168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 21 South Dakota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1427257021
LBN Legal business name Shields, Patricia Larson
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 29th, 2014 - about 12 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 1427257021 NPPES
South Dakota MEDICAID 5830472

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