Fields, Lewis Bradley

Fields, Lewis Bradley is an individual health care provider with primary practice located at 800 S Church St Suite 302, Jonesboro AR 72401-4176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fields, Lewis Bradley can be contacted via phone (870) 935-3990.

Contact Information

Primary practice address
800 S Church St Suite 302 Jonesboro AR 72401-4176
Fax: (870) 935-0871
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X N6969 Arkansas

Profile Details

NPI number 1205806510
LBN Legal business name Fields, Lewis Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 12th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205806510 NPPES
Other 9813669 CIGNA
Other 12878000040 CIGNA
Other 770138201 CIGNA
Other AS0140035 CIGNA
Other 54057 CIGNA
Other 160028625 CIGNA
MEDICAID 111703001 CIGNA

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