Individual provider · Type 1 NPI

Theodore P. Fields, BA

Student in an Organized Health Care Education/Training Program · Lansing, MI

NPI number 1023835212 Active

Practice location

812 E Jolly Rd
Lansing, MI 48910-6818

Call (517) 346-8318 Map

Mailing address

812 E Jolly Rd Ste 210
Lansing, MI 48910-6821

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1023835212

Theodore P. Fields, BA's National Provider Identifier is 1023835212, issued on Sep 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lansing, MI. The record was last updated on Sep 20, 2024.