Edington, Philip A
Edington, Philip A is an individual health care provider with primary practice located at 1899 W March Ln , Stockton CA 95207-6402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Edington, Philip A can be contacted via phone (209) 623-4700.Contact Information
Primary practice address
1899 W March Ln
Stockton CA 95207-6402
Phone: (209) 623-4700
Fax: (209) 948-9321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G58380 | California |
| Other Service Providers / Specialist | 174400000X | G58380 | California |
Profile Details
| NPI number | 1508837279 |
|---|---|
| LBN Legal business name | Edington, Philip A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Nov 2nd, 2020 - 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 | 1508837279 | NPPES |
| California | MEDICAID | 00G583800 |
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