Phillips, Jeannine Pamela

Phillips, Jeannine Pamela is an individual health care provider with primary practice located at 1415 Lilac Dr N Ste 190 , Golden Valley MN 55422-4544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Phillips, Jeannine Pamela can be contacted via phone (763) 267-8701.

Contact Information

Primary practice address
1415 Lilac Dr N Ste 190 Golden Valley MN 55422-4544
Phone: (763) 267-8701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10348 Minnesota

Profile Details

NPI number 1528248903
LBN Legal business name Phillips, Jeannine Pamela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Nov 11th, 2019 - about 7 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 1528248903 NPPES
Minnesota Other HP85889 HEALTH PARTNERS
Minnesota Other 154N5PH HEALTH PARTNERS
Minnesota Other P00474995 HEALTH PARTNERS
Minnesota Other 139989 HEALTH PARTNERS
Minnesota MEDICAID 178452100 HEALTH PARTNERS

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