Phillips, Michael W

Phillips, Michael W is an individual health care provider with primary practice located at 4102 Woolworth Ave , Omaha NE 68105-1899. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Phillips, Michael W can be contacted via phone (402) 444-7608.

Contact Information

Primary practice address
4102 Woolworth Ave Omaha NE 68105-1899
Phone: (402) 444-7608
Fax: (402) 996-8171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHP1482 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LIMHP 794 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 938 Nebraska

Profile Details

NPI number 1245393461
LBN Legal business name Phillips, Michael W
Credentials LIMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Dec 16th, 2016 - about 10 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 1245393461 NPPES
Nebraska Other 10025315700 MEDICAID
Nebraska MEDICAID 47037661286 MEDICAID
Nebraska Other 84975 MEDICAID

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