Provider Demographics
NPI:1639258684
Name:FIELD, KARL ERIC (PA)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:ERIC
Last Name:FIELD
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 ACCRA PL
Mailing Address - Street 2:
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20189-2020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HEALTH UNIT AMERICAN EMBASSY GHANA
Practice Address - Street 2:2020 ACCRA PL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20521-2020
Practice Address - Country:US
Practice Address - Phone:202-663-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2993363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant