Phillips, Minta Elizabeth
Phillips, Minta Elizabeth is an sole proprietor health care provider with primary practice located at 1317 N Elm St Suite 1B, Greensboro NC 27401-1023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Phillips, Minta Elizabeth can be contacted via phone (336) 274-9617.Contact Information
Primary practice address
1317 N Elm St Suite 1B
Greensboro NC 27401-1023
Phone: (336) 274-9617
Fax: (336) 482-2177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 34128 | North Carolina |
Profile Details
NPI number | 1578547766 |
---|---|
LBN Legal business name | Phillips, Minta Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2005 |
Last updated | Aug 10th, 2012 - about 11 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 | 1578547766 | NPPES |
North Carolina | Other | 73484 | MEDCOST |
North Carolina | Other | 24728 | MEDCOST |
North Carolina | Other | 1600768 | MEDCOST |
North Carolina | MEDICAID | 8967664 | MEDCOST |
North Carolina | Other | 300085688 | MEDCOST |
North Carolina | Other | 67664 | MEDCOST |
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