Shields, Ted

Shields, Ted is an sole proprietor health care provider with primary practice located at 1710 Mayfield Drive , Jonesboro AR 72401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Shields, Ted can be contacted via phone (844) 215-0731.

Contact Information

Primary practice address
1710 Mayfield Drive Jonesboro AR 72401
Phone: (844) 215-0731
Fax: (888) 630-8885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X E3420 Arkansas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X E3420 Arkansas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X E3420 Arkansas

Profile Details

NPI number 1972666147
LBN Legal business name Shields, Ted
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated May 27th, 2022 - about 3 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 1972666147 NPPES
Arkansas Other E3420 STATE LICENSE
Arkansas MEDICAID 148797003 STATE LICENSE

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