Desimone, Phillip Anthony
Desimone, Phillip Anthony is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Desimone, Phillip Anthony can be contacted via phone (859) 323-5661.Contact Information
Primary practice address
740 S Limestone
Lexington KY 40536-0001
Phone: (859) 323-5661
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15703 | Kentucky |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 15703 | Kentucky |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 15703 | Kentucky |
Profile Details
NPI number | 1609887652 |
---|---|
LBN Legal business name | Desimone, Phillip Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Oct 30th, 2012 - about 12 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 | 1609887652 | NPPES |
Kentucky | MEDICAID | 64157035 |
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