Phillip, John A
Phillip, John A is an individual health care provider with primary practice located at 1524 Atwood Ave Suite 245, Johnston RI 02919-3228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Phillip, John A can be contacted via phone (401) 521-6080.Contact Information
Primary practice address
1524 Atwood Ave Suite 245
Johnston RI 02919-3228
Phone: (401) 521-6080
Fax: (401) 521-6092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | RI08221 | Rhode Island |
Profile Details
| NPI number | 1285617696 |
|---|---|
| LBN Legal business name | Phillip, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jun 2nd, 2021 - about 2 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 | 1285617696 | NPPES |
| Rhode Island | MEDICAID | 7002899 | |
| Rhode Island | Other | RI08221 | |
| Rhode Island | Other | 004509 | |
| Rhode Island | Other | 1700281 |
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