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Contact Information

ALONZO J SHIELDS, IDC
REGIMENTAL AID STATION
7TH MARINE HQ RAS
TWENTYNINE PALMS, CA92278
 Phone: 334-370-7078
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for ALONZO J SHIELDS · (Male)

NPI Number 1013267996
Status Active
Credentials IDC
Entity Individual
Enumeration date 09/18/2012
Last updated 09/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 7244689
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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