Doctor Name: | BENJAMIN W FIELDS |
NPI Number: | 1497909170 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | |
Business Practice Address: | 5700 Perimeter Dr Dublin, OH - 430173247 |
Business Phone Number: | 6143559580 |
Business Fax Number: | 6143559589 |
Mailing Address: | Dept 781625, DETROIT |
State: | MI |
Postal Code: | 482781625 |
Phone Number: | 6143558004 |
Fax Number: | 6143552220 |
NPI Enumeration Date: | 11/08/2008 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |