Fields, Beth Rae
Fields, Beth Rae is an individual health care provider with primary practice located at 1513 N 6Th 1/2 St , Terre Haute IN 47807-1039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fields, Beth Rae can be contacted via phone (812) 238-7631.Contact Information
Primary practice address
1513 N 6Th 1/2 St
Terre Haute IN 47807-1039
Phone: (812) 238-7631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000887A | Indiana |
Profile Details
| NPI number | 1700862364 |
|---|---|
| LBN Legal business name | Fields, Beth Rae |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Oct 18th, 2010 - about 16 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 | 1700862364 | NPPES |
| Indiana | MEDICAID | 200371390 | |
| Indiana | Other | 500013624 |
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