Philip, Stephanus R

Philip, Stephanus R is an individual health care provider with primary practice located at 3291 Loma Vista Rd , Ventura CA 93003-3099. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Philip, Stephanus R can be contacted via phone (805) 652-6075.

Contact Information

Primary practice address
3291 Loma Vista Rd Ventura CA 93003-3099
Phone: (805) 652-6075
Fax: (805) 652-6286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A87363 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A87363 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A87363 California

Profile Details

NPI number 1043255797
LBN Legal business name Philip, Stephanus R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 17th, 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 1043255797 NPPES
California Other 00A873630 MCAL PROVIDER NUMBER
California Other WA87363D MCAL PROVIDER NUMBER

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