Phillips, Brock A
Phillips, Brock A is an individual health care provider with primary practice located at 125 E Plummer Blvd Ste A , Chatham IL 62629-8136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, Brock A can be contacted via phone (314) 454-6006.Contact Information
Primary practice address
125 E Plummer Blvd Ste A
Chatham IL 62629-8136
Phone: (314) 454-6006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036152530 | Illinois |
Profile Details
| NPI number | 1710407002 |
|---|---|
| LBN Legal business name | Phillips, Brock A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2017 |
| Last updated | Jan 3rd, 2022 - about 4 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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