Phillips, Matthew Shawn
Phillips, Matthew Shawn is an sole proprietor health care provider with primary practice located at 1295 Parkway Dr , Blackfoot ID 83221-1683. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Phillips, Matthew Shawn can be contacted via phone (208) 785-1311.Contact Information
Primary practice address
1295 Parkway Dr
Blackfoot ID 83221-1683
Phone: (208) 785-1311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P8508 | Idaho |
Profile Details
| NPI number | 1366038226 |
|---|---|
| LBN Legal business name | Phillips, Matthew Shawn |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2020 |
| Last updated | Dec 15th, 2020 - about 6 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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