Gullic, Phillip Thomas

Gullic, Phillip Thomas is an individual health care provider with primary practice located at 2180 Ada Avenue Suite 300, Conway AR 72034-7203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gullic, Phillip Thomas can be contacted via phone (501) 327-6547.

Contact Information

Primary practice address
2180 Ada Avenue Suite 300 Conway AR 72034-7203
Phone: (501) 327-6547
Fax: (501) 327-9715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E 1631 Arkansas

Profile Details

NPI number 1285606020
LBN Legal business name Gullic, Phillip Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285606020 NPPES
Arkansas MEDICAID 134193001

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