Fields, Larry S.

Fields, Larry S. is an individual health care provider with primary practice located at 1101 Saint Christopher Dr Suite 250, Ashland KY 41101-7087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fields, Larry S. can be contacted via phone (606) 836-3196.

Contact Information

Primary practice address
1101 Saint Christopher Dr Suite 250 Ashland KY 41101-7087
Phone: (606) 836-3196
Fax: (606) 836-2564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19519 Kentucky

Profile Details

NPI number 1083612774
LBN Legal business name Fields, Larry S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 17th, 2012 - about 12 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 1083612774 NPPES
Kentucky MEDICAID 64195191
Kentucky Other 000000191982
Kentucky Other 080172358
Kentucky Other 0536236
Kentucky Other F10727432

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