Mcphillips, Tomeko Lydritrius

Mcphillips, Tomeko Lydritrius is an individual health care provider with primary practice located at 6 Office Park Cir , Selma AL 36701-6506. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Mcphillips, Tomeko Lydritrius can be contacted via phone (334) 872-5636.

Contact Information

Primary practice address
6 Office Park Cir Selma AL 36701-6506
Phone: (334) 872-5636
Fax: (334) 872-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 256 Alabama

Profile Details

NPI number 1821093949
LBN Legal business name Mcphillips, Tomeko Lydritrius
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 11th, 2011 - about 15 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 1821093949 NPPES
Alabama MEDICAID MC051552784

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