Phillips, Robert Leroy

Phillips, Robert Leroy is an individual health care provider with primary practice located at 3650 Joseph Siewick Dr Ste 400, Fairfax VA 22033-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phillips, Robert Leroy can be contacted via phone (703) 391-2020.

Contact Information

Primary practice address
3650 Joseph Siewick Dr Ste 400 Fairfax VA 22033-1710
Phone: (703) 391-2020
Fax: (703) 391-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101228279 Virginia

Profile Details

NPI number 1437143591
LBN Legal business name Phillips, Robert Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Nov 27th, 2023 - about 3 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 1437143591 NPPES
Virginia MEDICAID 05646685
Virginia Other P00026602

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