MEDICARE: DR. STEPHEN LLOYD SHIELDS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	035-0790	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA1549	OTHER	MA	HARVARD PILGIRM HEALTHCAR
2	Y39911	OTHER	MA	BCBS MASSACHUSETTES
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0504442Y0NH02	OTHER	NH	ANTHEM BCBS
5	44-00187	OTHER	NH	UNITED HEALTHCARE
6	035079	OTHER	MA	TUFTS HEALTH PLANS
7	1162609	OTHER	NH	AETNA

General Provider Information

NPI Number	:	1437115755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN LLOYD SHIELDS D.C.

Provider Business Mailing Address
First Line	:	472 ROUTE 111
Second Line	:	VILLAGE SQUARE PLAZA
City	:	HAMPSTEAD
State	:	NH
Zip	:	03841-2371
Country	:	US
Telephone Number	:	603-329-9333
Fax Number	:	603-329-5090

Provider Business Practice Location Address
First Line	:	472 ROUTE 111
Second Line	:	VILLAGE SQUARE PLAZA
City	:	HAMPSTEAD
State	:	NH
Zip	:	03841-2371
Country	:	US
Telephone Number	:	603-329-9333
Fax Number	:	603-329-5090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	12/13/2007

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