Fields, Gail Everett

Fields, Gail Everett is an individual health care provider with primary practice located at 53 Poplar St , Blackfoot ID 83221-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fields, Gail Everett can be contacted via phone (208) 785-2220.

Contact Information

Primary practice address
53 Poplar St Blackfoot ID 83221-1737
Fax: (208) 785-2228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X O-84 Idaho

Profile Details

NPI number 1245236322
LBN Legal business name Fields, Gail Everett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated May 30th, 2008 - about 16 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 1245236322 NPPES
Idaho Other 313149 ALTIUS
Idaho Other S5528 ALTIUS
Idaho Other S6113 ALTIUS
Idaho Other 000010149436 ALTIUS
Idaho MEDICAID 000325400 ALTIUS
Idaho Other 244230 ALTIUS

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