Phipps, William Revelle
Phipps, William Revelle is an individual health care provider with primary practice located at 12200 W 106Th St Suite 120, Overland Park KS 66215-2305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Phipps, William Revelle can be contacted via phone (913) 894-2323.Contact Information
Primary practice address
12200 W 106Th St Suite 120
Overland Park KS 66215-2305
Phone: (913) 894-2323
Fax: (913) 894-0841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 04-38170 | Kansas |
Profile Details
| NPI number | 1053348979 |
|---|---|
| LBN Legal business name | Phipps, William Revelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Oct 13th, 2016 - about 10 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 | 1053348979 | NPPES |
| New York | Other | 4418300 | AETNA |
| New York | Other | MD428P | AETNA |
| New York | Other | P010187220 | AETNA |
| New York | MEDICAID | 01262853 | AETNA |
| New York | Other | 2075 | AETNA |
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