Individual
CHRISTOPHER B SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, STE 1105, LOUISVILLE, KY 40202-3900
(502) 583-1609
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
17534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000023035F
NNIKY/HUMANA
—
01
—
0019138
NNIKY/CIGNA
—
01
—
102621
NNIKY/SIIHO
—
01
—
36941900
NNIKY/PAD
—
01
—
50022340
NNIKY/PASSPORT
—
05
—
64175342
—
KY
01
—
P00739669
NNIKY/RAILROAD KY
—
Enumeration date
10/17/2005
Last updated
01/21/2021
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