Phillips, Richard Wayne

Phillips, Richard Wayne is an individual health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Phillips, Richard Wayne can be contacted via phone (707) 268-2990.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501-4413
Phone: (707) 268-2990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT26065 California

Profile Details

NPI number 1891951141
LBN Legal business name Phillips, Richard Wayne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Aug 5th, 2008 - about 18 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 1891951141 NPPES
California Other PT26065 BVNPTE

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