Fielding, Michael Fred

Fielding, Michael Fred is an sole proprietor health care provider with primary practice located at 4222 Bonniebank Rd Suite 302, Richmond VA 23234-6602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fielding, Michael Fred can be contacted via phone (804) 530-1771.

Contact Information

Primary practice address
4222 Bonniebank Rd Suite 302 Richmond VA 23234-6602
Fax: (804) 530-1771
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000862 Virginia
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1025 South Carolina

Profile Details

NPI number 1639189566
LBN Legal business name Fielding, Michael Fred
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1639189566 NPPES
Virginia Other 006420 BCBS BILLING #

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