Phillippe, Mark

Phillippe, Mark is an individual health care provider with primary practice located at 111 Colchester Ave Fahc, Acc Ep-4, Burlington VT 05401-1473. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Phillippe, Mark can be contacted via phone (802) 847-5112.

Contact Information

Primary practice address
111 Colchester Ave Fahc, Acc Ep-4 Burlington VT 05401-1473
Fax: (802) 847-5626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042-0010320 Vermont
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 042-0010320 Vermont
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 042-0010320 Vermont

Profile Details

NPI number 1699798900
LBN Legal business name Phillippe, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1699798900 NPPES
Vermont MEDICAID 1008327
Vermont Other 02210319

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