Wells, Phillip R
Wells, Phillip R is an individual health care provider with primary practice located at 26726 Crown Valley Pkwy., Suite 200 Head & Neck Associates Of Orange County, Mission Viejo CA 92691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wells, Phillip R can be contacted via phone (949) 364-4361.Contact Information
Primary practice address
26726 Crown Valley Pkwy., Suite 200 Head & Neck Associates Of Orange County
Mission Viejo CA 92691
Phone: (949) 364-4361
Fax: (949) 364-4495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G80312 | California |
Profile Details
| NPI number | 1851394209 |
|---|---|
| LBN Legal business name | Wells, Phillip R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Nov 26th, 2008 - about 18 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 | 1851394209 | NPPES |
| California | MEDICAID | 00G803120 | |
| California | Other | G80312 |
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