Phillips, Michael Kenneth

Phillips, Michael Kenneth is an individual health care provider with primary practice located at 623 Pusan Dr , Oceanside CA 92058-8149. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Phillips, Michael Kenneth can be contacted via phone (847) 912-8212.

Contact Information

Primary practice address
623 Pusan Dr Oceanside CA 92058-8149
Phone: (847) 912-8212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1790035707
LBN Legal business name Phillips, Michael Kenneth
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated May 1st, 2013 - about 13 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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