Phillips, Jason Ryan

Phillips, Jason Ryan is an individual health care provider with primary practice located at 7619 University Ave , Lubbock TX 79423-2125. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Phillips, Jason Ryan can be contacted via phone (806) 799-1518.

Contact Information

Primary practice address
7619 University Ave Lubbock TX 79423-2125
Phone: (806) 799-1518
Fax: (806) 799-5462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 252 Texas

Profile Details

NPI number 1669739702
LBN Legal business name Phillips, Jason Ryan
Credentials L.P., C.P. CFTS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Jul 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669739702 NPPES
Texas MEDICAID 145567702

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