Phillips, Alfred Matthew
Phillips, Alfred Matthew is an sole proprietor health care provider with primary practice located at 925 Ironwood Dr , Minden NV 89423-5178. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Phillips, Alfred Matthew can be contacted via phone (775) 445-7800.Contact Information
Primary practice address
925 Ironwood Dr
Minden NV 89423-5178
Phone: (775) 445-7800
Fax: (775) 782-2967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 26253 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26253 | Colorado |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 14369 | Nevada |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14369 | Nevada |
Profile Details
| NPI number | 1073503462 |
|---|---|
| LBN Legal business name | Phillips, Alfred Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Nov 2nd, 2012 - about 14 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 | 1073503462 | NPPES |
| Arizona | MEDICAID | 632738 | |
| Arizona | MEDICAID | W6787 | |
| Arizona | MEDICAID | 01262534 |
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