Fielder, David Glen
Fielder, David Glen is an individual health care provider with primary practice located at 1215 Sidney St Ste 300, Batesville AR 72501-7203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fielder, David Glen can be contacted via phone (870) 793-1126.Contact Information
Primary practice address
1215 Sidney St Ste 300
Batesville AR 72501-7203
Phone: (870) 793-1126
Fax: (870) 793-1180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E2101 | Arkansas |
Profile Details
| NPI number | 1821084377 |
|---|---|
| LBN Legal business name | Fielder, David Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jun 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821084377 | NPPES |
| Arkansas | Other | 18569000000 | QUALCHOICE |
| Arkansas | Other | 7045013 | QUALCHOICE |
| Arkansas | MEDICAID | 137303001 | QUALCHOICE |
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