Phillips, J Duncan
Phillips, J Duncan is an individual health care provider with primary practice located at 3024 New Bern Ave Suite 302 , Raleigh NC 27610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Phillips, J Duncan can be contacted via phone (919) 350-8797.Contact Information
Primary practice address
3024 New Bern Ave Suite 302
Raleigh NC 27610
Phone: (919) 350-8797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9901287 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 9901287 | North Carolina |
Profile Details
| NPI number | 1376636548 |
|---|---|
| LBN Legal business name | Phillips, J Duncan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376636548 | NPPES |
| North Carolina | MEDICAID | 891222G |
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