Phillips, Ebony Roxanne
Phillips, Ebony Roxanne is an sole proprietor health care provider with primary practice located at 1 E Erie St Ste 525-2055 , Chicago IL 60611-2740. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Phillips, Ebony Roxanne can be contacted via phone (773) 603-2276.Contact Information
Primary practice address
1 E Erie St Ste 525-2055
Chicago IL 60611-2740
Phone: (773) 603-2276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1316792500 |
|---|---|
| LBN Legal business name | Phillips, Ebony Roxanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2024 |
| Last updated | Apr 22nd, 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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