Conner, Phillip Stephen

Conner, Phillip Stephen is an individual health care provider with primary practice located at 1960 Tybee St , Lake Charles LA 70605-4173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conner, Phillip Stephen can be contacted via phone (337) 421-0090.

Contact Information

Primary practice address
1960 Tybee St Lake Charles LA 70605-4173
Phone: (337) 421-0090
Fax: (337) 421-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 024152 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.024152 Louisiana

Profile Details

NPI number 1306801634
LBN Legal business name Conner, Phillip Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 17th, 2016 - 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 1306801634 NPPES
Louisiana MEDICAID 1571229

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