Fields, Larry Michael

Fields, Larry Michael is an individual health care provider with primary practice located at 501 19Th St Suite 406, Knoxville TN 37916-1854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fields, Larry Michael can be contacted via phone (865) 541-2695.

Contact Information

Primary practice address
501 19Th St Suite 406 Knoxville TN 37916-1854
Phone: (865) 541-2695
Fax: (865) 541-2696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD35436 Tennessee

Profile Details

NPI number 1538162896
LBN Legal business name Fields, Larry Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 4th, 2011 - about 13 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 1538162896 NPPES
Tennessee MEDICAID 3867792
Tennessee Other 4277390

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