Phillips, Michael Jerome

Phillips, Michael Jerome is an individual health care provider with primary practice located at 3110 Wellons Blvd Suite C, New Bern NC 28562-5247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Phillips, Michael Jerome can be contacted via phone (252) 638-2515.

Contact Information

Primary practice address
3110 Wellons Blvd Suite C New Bern NC 28562-5247
Phone: (252) 638-2515
Fax: (252) 638-8538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 38408 North Carolina

Profile Details

NPI number 1417919044
LBN Legal business name Phillips, Michael Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated May 16th, 2014 - about 12 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 1417919044 NPPES
North Carolina MEDICAID 8967661

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