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
Phone: (802) 847-5112
Fax: (802) 847-5626
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1699798900 | NPPES |
| Vermont | MEDICAID | 1008327 | |
| Vermont | Other | 02210319 |
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