Fields, Michael Jay

Fields, Michael Jay is an individual health care provider with primary practice located at 200 Patewood Dr Ste A300 , Greenville SC 29615-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Fields, Michael Jay can be contacted via phone (864) 454-5530.

Contact Information

Primary practice address
200 Patewood Dr Ste A300 Greenville SC 29615-6303
Fax: (864) 241-9246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 37696 South Carolina

Profile Details

NPI number 1154433688
LBN Legal business name Fields, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 10th, 2021 - about 4 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 1154433688 NPPES
South Carolina MEDICAID 376961

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