Albert, Philip Richard

Albert, Philip Richard is an individual health care provider with primary practice located at 2705 Rib Mountain Way , Wausau WI 54401-9291. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Albert, Philip Richard can be contacted via phone (715) 302-0130.

Contact Information

Primary practice address
2705 Rib Mountain Way Wausau WI 54401-9291
Fax: (715) 842-4058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 17796-020 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17796 Wisconsin

Profile Details

NPI number 1073619623
LBN Legal business name Albert, Philip Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 6th, 2020 - about 4 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 1073619623 NPPES
Virginia MEDICAID 1073619623

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