Phillips, Jason S

Phillips, Jason S is an individual health care provider with primary practice located at 14420 W Meeker Blvd Suite 300, Sun City West AZ 85375-5286. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Phillips, Jason S can be contacted via phone (623) 537-5600.

Contact Information

Primary practice address
14420 W Meeker Blvd Suite 300 Sun City West AZ 85375-5286
Phone: (623) 537-5600
Fax: (623) 537-5601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3549 Arizona

Profile Details

NPI number 1992878946
LBN Legal business name Phillips, Jason S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Dec 6th, 2007 - about 18 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 1992878946 NPPES
Arizona MEDICAID 167341

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