Fields, Madison J
Fields, Madison J is an individual health care provider with primary practice located at 355 Quartermaster Ct , Jeffersonville IN 47130-3670. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fields, Madison J can be contacted via phone (812) 258-9802.Contact Information
Primary practice address
355 Quartermaster Ct
Jeffersonville IN 47130-3670
Phone: (812) 258-9802
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22007074A | Indiana |
Profile Details
| NPI number | 1447728464 |
|---|---|
| LBN Legal business name | Fields, Madison J |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2018 |
| Last updated | Nov 7th, 2018 - about 7 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 | 1447728464 | NPPES |
| Indiana | Other | 1891820668 | NPI |
| Indiana | MEDICAID | 200533240G | NPI |
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