Phillips, John Richard

Phillips, John Richard is an individual health care provider with primary practice located at 13255 W Bluemound Rd Suite 103, Brookfield WI 53005-6245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Phillips, John Richard can be contacted via phone (262) 786-2875.

Contact Information

Primary practice address
13255 W Bluemound Rd Suite 103 Brookfield WI 53005-6245
Phone: (262) 786-2875
Fax: (262) 786-2096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17714 Wisconsin

Profile Details

NPI number 1538120837
LBN Legal business name Phillips, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Apr 14th, 2009 - about 17 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 1538120837 NPPES
Wisconsin MEDICAID 31211900
Wisconsin Other 000368010

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