Fields, Beth Rae

Fields, Beth Rae is an individual health care provider with primary practice located at 1513 N 6Th 1/2 St , Terre Haute IN 47807-1039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fields, Beth Rae can be contacted via phone (812) 238-7631.

Contact Information

Primary practice address
1513 N 6Th 1/2 St Terre Haute IN 47807-1039
Phone: (812) 238-7631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000887A Indiana

Profile Details

NPI number 1700862364
LBN Legal business name Fields, Beth Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Oct 18th, 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 1700862364 NPPES
Indiana MEDICAID 200371390
Indiana Other 500013624

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