Richard, Dana Phillip

Richard, Dana Phillip is an sole proprietor health care provider with primary practice located at 2500 Metrocentre Blvd Suite 7, West Palm Beach FL 33407-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richard, Dana Phillip can be contacted via phone (561) 434-5678.

Contact Information

Primary practice address
2500 Metrocentre Blvd Suite 7 West Palm Beach FL 33407-3107
Phone: (561) 434-5678
Fax: (561) 964-9829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS5435 Florida

Profile Details

NPI number 1528041068
LBN Legal business name Richard, Dana Phillip
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Sep 26th, 2018 - about 8 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 1528041068 NPPES
Florida Other 80230 BLUE CROSS BLUE SHIELD

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