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Contact Information

SCOTT L SHIELDS, DPM
524 N VAN BUREN
ENID, OK73703-4455
 Phone: 580-237-3338
 Fax: 580-237-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SCOTT L SHIELDS · (Male)

NPI # 1437133436
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/02/2005
Last updated 01/31/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 368
  • OK License # 189
  • OK Medicaid 100779730A
  • Other 7315168723701A001 TRICARE
  • OK Other 1754470500 DEPT. OF LABOR
Hospital affiliation(s)
  • INTEGRIS BASS BAPTIST HEALTH CENTER - (Acute Care)
    600 SOUTH MONROE
    ENID, OK 73701
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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