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Contact Information

CHRISTOPHER C SHIELDS, MD
1125 W ALAMEDA RD
POCATELLO, ID83201-6143
 Phone: 208-237-1151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHRISTOPHER C SHIELDS · (Male)

NPI # 1285633065
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2005
Last updated 04/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M4528
  • ID Medicaid 003933100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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