Fields, Scott A

Fields, Scott A is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fields, Scott A can be contacted via phone (304) 388-4600.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Charleston WV 25304-1227
Phone: (304) 388-4600
Fax: (304) 388-4620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 865 West Virginia
Behavioral Health & Social Service Providers / Family 103TF0000X 865 West Virginia

Profile Details

NPI number 1568564375
LBN Legal business name Fields, Scott A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Apr 20th, 2016 - about 9 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 1568564375 NPPES
West Virginia MEDICAID 9202206000

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