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Contact Information

CHARLA FIELDS, CHW-C, CPHT
1173 E HINES ST
REPUBLIC, MO65738-1277
 Phone: 417-735-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for CHARLA FIELDS · (Female)

NPI Number 1033889647
Status Active
Credentials CHW-C, CPHT
Entity Individual
Enumeration date 09/15/2021
Last updated 09/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 13248
  • MO License # 2011006391
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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