Abbott, John Phillip
Abbott, John Phillip is an individual health care provider with primary practice located at 302 Main Street , Wiley CO 81092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abbott, John Phillip can be contacted via phone (719) 829-4286.Contact Information
Primary practice address
302 Main Street
Wiley CO 81092
Phone: (719) 829-4286
Fax: (719) 829-4288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29346 | Colorado |
Profile Details
| NPI number | 1255477790 |
|---|---|
| LBN Legal business name | Abbott, John Phillip |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Aug 4th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255477790 | NPPES |
| Colorado | MEDICAID | 01293463 |
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