Fielder, David Glen

Fielder, David Glen is an individual health care provider with primary practice located at 1215 Sidney St Ste 300, Batesville AR 72501-7203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fielder, David Glen can be contacted via phone (870) 793-1126.

Contact Information

Primary practice address
1215 Sidney St Ste 300 Batesville AR 72501-7203
Phone: (870) 793-1126
Fax: (870) 793-1180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E2101 Arkansas

Profile Details

NPI number 1821084377
LBN Legal business name Fielder, David Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 22nd, 2010 - 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 1821084377 NPPES
Arkansas Other 18569000000 QUALCHOICE
Arkansas Other 7045013 QUALCHOICE
Arkansas MEDICAID 137303001 QUALCHOICE

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