Phillips, Daniel

Phillips, Daniel is an individual health care provider with primary practice located at 13330 Eureka Rd , Southgate MI 48195-1310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phillips, Daniel can be contacted via phone (734) 285-2990.

Contact Information

Primary practice address
13330 Eureka Rd Southgate MI 48195-1310
Phone: (734) 285-2990
Fax: (734) 285-2712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003890 Michigan

Profile Details

NPI number 1477557817
LBN Legal business name Phillips, Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 26th, 2009 - about 17 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 1477557817 NPPES
Michigan MEDICAID 3450071
Michigan Other 900H26664

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