National Provider Identifier Database

GARY N SHIELDS, DPM – NPI #1073535456
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

GARY N SHIELDS, DPM
340 BANTAM RD
SUITE 1-B
LITCHFIELD, CT06759-3318
Phone: 860-567-1600
Fax: 860-567-1606
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for GARY N SHIELDS

NPI Number 1073535456
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/24/2006
Last updated 07/28/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 000820
  • CT Medicaid: 008003499
  • FL Medicaid: 041318600
  • CT Other: 6240129 CINGA
  • CT Other: 614459 CONNECTICARE
  • CT Other: 6145090001 DMEPOS
  • SC Other: 261444569 PALMETTO GBA DME
Hospital affiliation n/a

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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