Phillips, Theodore George

Phillips, Theodore George is an sole proprietor health care provider with primary practice located at 1250 S Cedar Crest Blvd Suite 310, Allentown PA 18103-6224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Phillips, Theodore George can be contacted via phone (610) 402-6890.

Contact Information

Primary practice address
1250 S Cedar Crest Blvd Suite 310 Allentown PA 18103-6224
Phone: (610) 402-6890
Fax: (610) 402-6892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD041580L Pennsylvania

Profile Details

NPI number 1710938725
LBN Legal business name Phillips, Theodore George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Nov 25th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710938725 NPPES
Pennsylvania Other 000637659 KEYSTONE EAST
Pennsylvania Other 50039540 KEYSTONE EAST
Pennsylvania Other 637659 KEYSTONE EAST
Pennsylvania Other 637659 KEYSTONE EAST
Pennsylvania MEDICAID 0012385870005 KEYSTONE EAST
Pennsylvania Other 1511814 KEYSTONE EAST
Pennsylvania Other 35920 KEYSTONE EAST
Pennsylvania Other P00192724 KEYSTONE EAST
Pennsylvania Other 0467898000 KEYSTONE EAST
Pennsylvania Other 20034834 KEYSTONE EAST
Pennsylvania Other 30022212 KEYSTONE EAST
Pennsylvania Other 3641356 KEYSTONE EAST

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