Phillips, Wilbur Eugene
Phillips, Wilbur Eugene is an individual health care provider with primary practice located at 13330 Eureka Rd , Southgate MI 48195-1310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phillips, Wilbur Eugene can be contacted via phone (734) 285-2990.Contact Information
Primary practice address
13330 Eureka Rd
Southgate MI 48195-1310
Phone: (734) 285-2990
Fax: (734) 285-2712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002142 | Michigan |
Profile Details
| NPI number | 1649269218 |
|---|---|
| LBN Legal business name | Phillips, Wilbur Eugene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Mar 26th, 2009 - about 17 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 | 1649269218 | NPPES |
| Michigan | MEDICAID | 5006796 | |
| Michigan | Other | 900H24843 |
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