Phillips, Madison Grace
Phillips, Madison Grace is an individual health care provider with primary practice located at 9905 Fall Creek Rd , Indianapolis IN 46256-4804. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Phillips, Madison Grace can be contacted via phone (317) 813-4690.Contact Information
Primary practice address
9905 Fall Creek Rd
Indianapolis IN 46256-4804
Phone: (317) 813-4690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | BACB613919 | Indiana |
Profile Details
| NPI number | 1750156097 |
|---|---|
| LBN Legal business name | Phillips, Madison Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2023 |
| Last updated | Nov 16th, 2023 - about 3 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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