Phillips, George C

Phillips, George C is an individual health care provider with primary practice located at 3101 Broadway Blvd , Kansas City MO 64111-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, George C can be contacted via phone (816) 960-3070.

Contact Information

Primary practice address
3101 Broadway Blvd Kansas City MO 64111-2659
Phone: (816) 960-3070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2015022188 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-38278 Kansas

Profile Details

NPI number 1013902709
LBN Legal business name Phillips, George C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 25th, 2015 - about 11 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 1013902709 NPPES
Iowa MEDICAID D266494
Iowa Other 48627

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