Avila, Phillip
Avila, Phillip is an sole proprietor health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Avila, Phillip can be contacted via phone (262) 741-2121.Contact Information
Primary practice address
W3985 County Road Nn
Elkhorn WI 53121-4337
Phone: (262) 741-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 000 | Wisconsin |
Profile Details
| NPI number | 1396495354 |
|---|---|
| LBN Legal business name | Avila, Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2022 |
| Last updated | Jun 6th, 2023 - about 3 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.
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