Fields, Robert

Fields, Robert is an individual health care provider with primary practice located at 5720 Fayetteville Road , Durham NC 27713. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Fields, Robert can be contacted via phone (919) 484-9931.

Contact Information

Primary practice address
5720 Fayetteville Road Durham NC 27713
Phone: (919) 484-9931
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2497 North Carolina

Profile Details

NPI number 1629151915
LBN Legal business name Fields, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1629151915 NPPES
North Carolina MEDICAID 6107410

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