Phillips, Gregory Ellis

Phillips, Gregory Ellis is an individual health care provider with primary practice located at 3180 Middle Dr , Columbus IN 47203-2298. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Phillips, Gregory Ellis can be contacted via phone (812) 972-2141.

Contact Information

Primary practice address
3180 Middle Dr Columbus IN 47203-2298
Phone: (812) 972-2141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12008604 Indiana

Profile Details

NPI number 1417022427
LBN Legal business name Phillips, Gregory Ellis
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1417022427 NPPES
Indiana MEDICAID 100083240A

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