Phillips, Martha
Phillips, Martha is an sole proprietor health care provider with primary practice located at 3610 W Village Ter , Springfield MO 65810-1027. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Martha can be contacted via phone (417) 882-9343.Contact Information
Primary practice address
3610 W Village Ter
Springfield MO 65810-1027
Phone: (417) 882-9343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002172 | Missouri |
Profile Details
| NPI number | 1821099771 |
|---|---|
| LBN Legal business name | Phillips, Martha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Dec 1st, 2010 - about 16 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 | 1821099771 | NPPES |
| Missouri | MEDICAID | 495363517 |
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