Fields, Jeremy

Fields, Jeremy is an individual health care provider with primary practice located at 47 N Main St , West Hartford CT 06107-1926. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Fields, Jeremy can be contacted via phone (860) 409-4595.

Contact Information

Primary practice address
47 N Main St West Hartford CT 06107-1926
Phone: (860) 409-4595
Fax: (860) 409-4860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000413 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1620 Connecticut

Profile Details

NPI number 1447419916
LBN Legal business name Fields, Jeremy
Credentials PTA, ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Nov 13th, 2015 - about 10 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.

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