Phillips, Carl Douglas

Phillips, Carl Douglas is an sole proprietor health care provider with primary practice located at 109 Yorktown Dr Ste A , Alexandria LA 71303-3673. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Phillips, Carl Douglas can be contacted via phone (318) 542-4288.

Contact Information

Primary practice address
109 Yorktown Dr Ste A Alexandria LA 71303-3673
Phone: (318) 542-4288
Fax: (318) 704-6201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP06562 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN115788-AP06562 Louisiana

Profile Details

NPI number 1679853477
LBN Legal business name Phillips, Carl Douglas
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2011
Last updated Apr 5th, 2024 - about 2 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 1679853477 NPPES
Louisiana MEDICAID 2160648

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