Phillips, Charles Samuel

Phillips, Charles Samuel is an sole proprietor health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Phillips, Charles Samuel can be contacted via phone (317) 274-4779.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 274-4779
Fax: (317) 948-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 02006187A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 20A9841 California

Profile Details

NPI number 1598945685
LBN Legal business name Phillips, Charles Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2007
Last updated Jun 6th, 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 1598945685 NPPES
Indiana MEDICAID 300040766

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