Fields, Charla

Fields, Charla is an sole proprietor health care provider with primary practice located at 1173 E Hines St , Republic MO 65738-1277. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacy Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Fields, Charla can be contacted via phone (417) 735-0055.

Contact Information

Primary practice address
1173 E Hines St Republic MO 65738-1277
Phone: (417) 735-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 2011006391 Missouri
Other Service Providers / Community Health Worker 172V00000X 13248 Missouri

Profile Details

NPI number 1033889647
LBN Legal business name Fields, Charla
Credentials CHW-C, CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 3 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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