Provider Demographics
NPI:1124064431
Name:SCHIELD, LAURA B (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:B
Last Name:SCHIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2787 97TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-8452
Mailing Address - Country:US
Mailing Address - Phone:701-223-0592
Mailing Address - Fax:
Practice Address - Street 1:2787 97TH AVE NW
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-8452
Practice Address - Country:US
Practice Address - Phone:701-223-0592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND75232084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND054517Medicaid
NDP00113732OtherRR MEDICARE
ND021724OtherBCBS
NDP00113732OtherRR MEDICARE
ND054517Medicaid