Phillips, Susie B

Phillips, Susie B is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Phillips, Susie B can be contacted via phone (601) 984-2940.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2940
Fax: (601) 984-2926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-2592 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23466 Mississippi

Profile Details

NPI number 1932463312
LBN Legal business name Phillips, Susie B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated May 9th, 2017 - about 9 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 1932463312 NPPES
Alabama MEDICAID 194754
Alabama MEDICAID 01022856

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