Fields, Casey L

Fields, Casey L is an sole proprietor health care provider with primary practice located at 4455 E 56Th St , Davenport IA 52807-2995. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fields, Casey L can be contacted via phone (954) 895-1519.

Contact Information

Primary practice address
4455 E 56Th St Davenport IA 52807-2995
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8818 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X 091435 Iowa

Profile Details

NPI number 1427464817
LBN Legal business name Fields, Casey L
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2014
Last updated Jun 7th, 2019 - about 6 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 1427464817 NPPES
Florida MEDICAID 1427464817

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