Fields, Larry Michael
Fields, Larry Michael is an individual health care provider with primary practice located at 501 19Th St Suite 406, Knoxville TN 37916-1854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fields, Larry Michael can be contacted via phone (865) 541-2695.Contact Information
Primary practice address
501 19Th St Suite 406
Knoxville TN 37916-1854
Phone: (865) 541-2695
Fax: (865) 541-2696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD35436 | Tennessee |
Profile Details
| NPI number | 1538162896 |
|---|---|
| LBN Legal business name | Fields, Larry Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Aug 4th, 2011 - 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 | 1538162896 | NPPES |
| Tennessee | MEDICAID | 3867792 | |
| Tennessee | Other | 4277390 |
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