Phillips, Llewellyn

Phillips, Llewellyn is an sole proprietor health care provider with primary practice located at 4509 Talbot Rd S Suite 200, Renton WA 98055-6294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Phillips, Llewellyn can be contacted via phone (425) 228-4520.

Contact Information

Primary practice address
4509 Talbot Rd S Suite 200 Renton WA 98055-6294
Phone: (425) 228-4520
Fax: (425) 226-0283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00013579 Washington

Profile Details

NPI number 1316056070
LBN Legal business name Phillips, Llewellyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Oct 10th, 2007 - about 18 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 1316056070 NPPES
Washington MEDICAID 1681105
Washington Other P618
Washington Other 120734144076

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