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
Phone: (870) 935-3990
Fax: (870) 935-0871
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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