Bissoondial, Philip Joseph

Bissoondial, Philip Joseph is an sole proprietor health care provider with primary practice located at 2300 Gallberry Ln , Waxhaw NC 28173-0161. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bissoondial, Philip Joseph can be contacted via phone (704) 649-4509.

Contact Information

Primary practice address
2300 Gallberry Ln Waxhaw NC 28173-0161
Phone: (704) 649-4509
Fax: (704) 843-9045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4874 North Carolina

Profile Details

NPI number 1578682225
LBN Legal business name Bissoondial, Philip Joseph
Credentials OTR/ L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Oct 5th, 2023 - about last year

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 1578682225 NPPES
North Carolina MEDICAID 7301563

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