Phillips, David

Phillips, David is an sole proprietor health care provider with primary practice located at 429 W Airline Hwy Ste V , La Place LA 70068-3817. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Phillips, David can be contacted via phone (985) 618-3403.

Contact Information

Primary practice address
429 W Airline Hwy Ste V La Place LA 70068-3817
Phone: (985) 618-3403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana

Profile Details

NPI number 1407362387
LBN Legal business name Phillips, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2017
Last updated Apr 28th, 2021 - about 5 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 1407362387 NPPES
Louisiana MEDICAID 1295283000

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