Brandi Fields
Specialist, Prosthetics Case Management in Belleville, IL. Individual provider (NPI-1).
NPI number1164072831
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1164072831
- Entity type
- Individual (NPI-1)
- Name
- Brandi Fields
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2019
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | – | Yes |
Practice location
6400 W Main St Ste 3kBelleville, IL 62223-3806
Phone 618-578-3627
Mailing address
1600 Loretta AveCahokia, IL 62206-2305
Phone 618-578-3627
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