Individual
MR. GREGORY DEAN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1643 BARDWELL WEST RD, WILLIAMSBURG, OH 45176-9648
(513) 967-3694
Mailing address
1643 BARDWELL WEST RD, WILLIAMSBURG, OH 45176-9648
(513) 724-2251
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0362562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362562
—
OH
01
—
1305185
DSP
OH
Enumeration date
11/30/2020
Last updated
11/30/2020
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