Phillips, Gregory

Phillips, Gregory is an individual health care provider with primary practice located at 2508 Bert Kouns Loop Suite 201, Shreveport LA 71118-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Phillips, Gregory can be contacted via phone (318) 212-5790.

Contact Information

Primary practice address
2508 Bert Kouns Loop Suite 201 Shreveport LA 71118-3133
Phone: (318) 212-5790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 202632 Louisiana

Profile Details

NPI number 1679784607
LBN Legal business name Phillips, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 28th, 2011 - about 15 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 1679784607 NPPES
Louisiana MEDICAID 1078964

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