Fields, Michael Douglas
Fields, Michael Douglas is an individual health care provider with primary practice located at 2143 Gilmer Rd , Longview TX 75604-2514. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fields, Michael Douglas can be contacted via phone (903) 234-2886.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 7843 | Texas |
Profile Details
NPI number | 1588740070 |
---|---|
LBN Legal business name | Fields, Michael Douglas |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Jul 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588740070 | NPPES |
Other | 605821 | BCBS | |
MEDICAID | 002035601 | BCBS |
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