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
Fax: (207) 947-0205
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104810266 NPPES
Other 111132712 RAILROAD MEDICARE
MEDICAID 304680099 RAILROAD MEDICARE
Other 003955 RAILROAD MEDICARE

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