Shields, Thomas W

Shields, Thomas W is an individual health care provider with primary practice located at 320 Hospital Dr Emergency Dept., Martinsville VA 24112-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shields, Thomas W can be contacted via phone (276) 666-7200.

Contact Information

Primary practice address
320 Hospital Dr Emergency Dept. Martinsville VA 24112-1900
Phone: (276) 666-7200
Fax: (276) 666-7600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101221408 Virginia

Profile Details

NPI number 1760400873
LBN Legal business name Shields, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 14th, 2008 - about 18 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 1760400873 NPPES
North Carolina MEDICAID 790593Q
North Carolina MEDICAID 005827621

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