Fields, Audrey
Fields, Audrey is an individual health care provider with primary practice located at 402 S Lewis Ln , Carbondale IL 62901. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fields, Audrey can be contacted via phone (618) 519-9200.Contact Information
Primary practice address
402 S Lewis Ln
Carbondale IL 62901
Phone: (618) 519-9200
Fax: (618) 519-9375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019031776 | Illinois |
Profile Details
| NPI number | 1023509932 |
|---|---|
| LBN Legal business name | Fields, Audrey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2018 |
| Last updated | Jul 3rd, 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.
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