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

Primary practice address
2143 Gilmer Rd Longview TX 75604-2514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588740070 NPPES
Other 605821 BCBS
MEDICAID 002035601 BCBS

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