Ambrose, Stephanie Phillips

Ambrose, Stephanie Phillips is an individual health care provider with primary practice located at 7 Richland Medical Park Dr Ste 7215 , Columbia SC 29203-6863. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Ambrose, Stephanie Phillips can be contacted via phone (803) 434-3533.

Contact Information

Primary practice address
7 Richland Medical Park Dr Ste 7215 Columbia SC 29203-6863
Fax: (803) 434-3094
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1502 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 1502 South Carolina

Profile Details

NPI number 1639466360
LBN Legal business name Ambrose, Stephanie Phillips
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2011
Last updated Nov 15th, 2022 - 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 1639466360 NPPES
South Carolina MEDICAID 015021

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