Fields, John H
Fields, John H is an individual health care provider with primary practice located at 1001 W Fairmont St , Longview TX 75604-3511. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fields, John H can be contacted via phone (903) 758-2610.Contact Information
Primary practice address
1001 W Fairmont St
Longview TX 75604-3511
Phone: (903) 758-2610
Fax: (903) 758-7081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04509 | Texas |
Profile Details
| NPI number | 1730179433 |
|---|---|
| LBN Legal business name | Fields, John H |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Mar 18th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730179433 | NPPES |
| Texas | Other | 8N8691 | BLUE CROSS |
| Texas | MEDICAID | 181343801 | BLUE CROSS |
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