Mayfield, Pete
Mayfield, Pete is an individual health care provider with primary practice located at 2051 Clevidence Blvd , Clarksville IN 47129-2278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mayfield, Pete can be contacted via phone (812) 280-9145.Contact Information
Primary practice address
2051 Clevidence Blvd
Clarksville IN 47129-2278
Phone: (812) 280-9145
Fax: (812) 280-6641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23401 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01034928A | Indiana |
Profile Details
| NPI number | 1396700647 |
|---|---|
| LBN Legal business name | Mayfield, Pete |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jan 20th, 2021 - about 5 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 | 1396700647 | NPPES |
| Kentucky | Other | 1193576 | CHA / NCMA |
| Kentucky | MEDICAID | 64234016 | CHA / NCMA |
| Kentucky | Other | 004329 | CHA / NCMA |
| Kentucky | Other | 000023031D | CHA / NCMA |
| Kentucky | Other | 1166748 | CHA / NCMA |
| Kentucky | Other | 2440087000 | CHA / NCMA |
| Kentucky | MEDICAID | 100097290 | CHA / NCMA |
| Kentucky | Other | 110138280 | CHA / NCMA |
| Kentucky | Other | 2533699 | CHA / NCMA |
| Kentucky | Other | 00000062915 | CHA / NCMA |
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