Dephillips, Joanne
Dephillips, Joanne is an individual health care provider with primary practice located at 2070 Clinton Ave , Alameda CA 94501-4399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dephillips, Joanne can be contacted via phone (510) 814-4397.Contact Information
Primary practice address
2070 Clinton Ave
Alameda CA 94501-4399
Phone: (510) 814-4397
Fax: (510) 814-4391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G34600 | California |
Profile Details
| NPI number | 1538137963 |
|---|---|
| LBN Legal business name | Dephillips, Joanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 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 | 1538137963 | NPPES |
| California | MEDICAID | 00G346000 |
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