Phillis, Terry M
Phillis, Terry M is an individual health care provider with primary practice located at 622 Leighton Ave , Anniston AL 36207. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Phillis, Terry M can be contacted via phone (256) 237-6717.Contact Information
Primary practice address
622 Leighton Ave
Anniston AL 36207
Phone: (256) 237-6717
Fax: (256) 237-6717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 21542 | Alabama |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 21542 | Alabama |
Profile Details
| NPI number | 1750359030 |
|---|---|
| LBN Legal business name | Phillis, Terry M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 24th, 2010 - about 16 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 | 1750359030 | NPPES |
| Alabama | Other | 051076321 | BLUE CROSS AND BLUE SHIEL |
| Alabama | MEDICAID | 000076321 | BLUE CROSS AND BLUE SHIEL |
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