Phipps, William Russell

Phipps, William Russell is an individual health care provider with primary practice located at 12920 Us Highway 1 Ste A , Sebastian FL 32958-3772. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Phipps, William Russell can be contacted via phone (321) 727-7992.

Contact Information

Primary practice address
12920 Us Highway 1 Ste A Sebastian FL 32958-3772
Phone: (321) 727-7992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35088267 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 35088267 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME133891 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 35088267 Ohio

Profile Details

NPI number 1295758779
LBN Legal business name Phipps, William Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 12th, 2024 - about 2 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 1295758779 NPPES
Florida MEDICAID 102517900

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