Shields, Sam J.

Shields, Sam J. is an individual health care provider with primary practice located at 1401 Garces Highway , Delano CA 93215-3690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shields, Sam J. can be contacted via phone (661) 721-5262.

Contact Information

Primary practice address
1401 Garces Highway Delano CA 93215-3690
Phone: (661) 721-5262
Fax: (661) 721-5254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C28997 California

Profile Details

NPI number 1700821790
LBN Legal business name Shields, Sam J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 9th, 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 1700821790 NPPES
California Other 00C289970 CALOPTIMA
California Other C28997 CALOPTIMA
California MEDICAID 00C289970 CALOPTIMA
California Other 00C289970 CALOPTIMA
California Other 050608CA33806 CALOPTIMA
California Other P00282262 CALOPTIMA

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