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) 443-5559.

Contact Information

Primary practice address
1524 Atwood Ave Suite 245 Johnston RI 02919-3228
Phone: (401) 443-5559
Fax: (401) 443-5562
Website:
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Health care specialties

SpecialtyCodeLicense #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 Dec 20th, 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 1285617696 NPPES
Rhode Island MEDICAID 7002899
Rhode Island Other RI08221
Rhode Island Other 1700281
Rhode Island Other 004509

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