Phillips, Alfred J
Phillips, Alfred J is an individual health care provider with primary practice located at 100 Camp St , Hyannis MA 02601-3063. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Phillips, Alfred J can be contacted via phone (508) 775-1984.Contact Information
Primary practice address
100 Camp St
Hyannis MA 02601-3063
Phone: (508) 775-1984
Fax: (508) 790-1897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1916 | Massachusetts |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1916 | Massachusetts |
Profile Details
| NPI number | 1982727129 |
|---|---|
| LBN Legal business name | Phillips, Alfred J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | May 21st, 2021 - about 5 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 | 1982727129 | NPPES |
| Massachusetts | MEDICAID | 362972 | |
| Massachusetts | Other | Y70921 |
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