Phillips, Martin R
Phillips, Martin R is an individual health care provider with primary practice located at 333 School St , Pawtucket RI 02860-5334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Phillips, Martin R can be contacted via phone (401) 728-1300.Contact Information
Primary practice address
333 School St
Pawtucket RI 02860-5334
Phone: (401) 728-1300
Fax: (401) 723-0978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD05527 | Rhode Island |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD05527 | Rhode Island |
Profile Details
| NPI number | 1801980149 |
|---|---|
| LBN Legal business name | Phillips, Martin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Oct 26th, 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 | 1801980149 | NPPES |
| Rhode Island | MEDICAID | 700184 |
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