Phillips, Lewis Everett
Phillips, Lewis Everett is an sole proprietor health care provider with primary practice located at 336 Mount Hope Ave Ste 11, Bangor ME 04401-4236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phillips, Lewis Everett can be contacted via phone (207) 947-0128.Contact Information
Primary practice address
336 Mount Hope Ave Ste 11
Bangor ME 04401-4236
Phone: (207) 947-0128
Fax: (207) 947-0205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6085 | Maine |
Profile Details
| NPI number | 1104810266 |
|---|---|
| LBN Legal business name | Phillips, Lewis Everett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104810266 | NPPES |
| Other | 111132712 | RAILROAD MEDICARE | |
| MEDICAID | 304680099 | RAILROAD MEDICARE | |
| Other | 003955 | RAILROAD MEDICARE |
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