Phillips, Jonnie S

Phillips, Jonnie S is an individual health care provider with primary practice located at 3747 W Fork Rd , Cincinnati OH 45247-7548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phillips, Jonnie S can be contacted via phone (513) 961-4335.

Contact Information

Primary practice address
3747 W Fork Rd Cincinnati OH 45247-7548
Phone: (513) 961-4335
Fax: (513) 961-4227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 08008 Ohio

Profile Details

NPI number 1649245960
LBN Legal business name Phillips, Jonnie S
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 17th, 2013 - about 12 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 1649245960 NPPES
Indiana MEDICAID 200517900
Indiana MEDICAID 2535993
Indiana MEDICAID 78014164
Indiana Other P00316324
Indiana MEDICAID 200517900A
Indiana MEDICAID 7100056850

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