Provider Demographics
NPI:1598483018
Name:SHIER PRIVATE PRACTICE
Entity Type:Organization
Organization Name:SHIER PRIVATE PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-299-1965
Mailing Address - Street 1:8501 E PRINCESS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5481
Mailing Address - Country:US
Mailing Address - Phone:480-299-1965
Mailing Address - Fax:
Practice Address - Street 1:8501 E PRINCESS DR STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5481
Practice Address - Country:US
Practice Address - Phone:480-299-1965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty