Jones, Phillip Wayne
Jones, Phillip Wayne is an individual health care provider with primary practice located at 2428 Knob Creek Rd Suite 102, Johnson City TN 37604-2101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Jones, Phillip Wayne can be contacted via phone (423) 794-1074.Contact Information
Primary practice address
2428 Knob Creek Rd Suite 102
Johnson City TN 37604-2101
Phone: (423) 794-1074
Fax: (423) 794-1079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD34525 | Tennessee |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD34525 | Tennessee |
Profile Details
| NPI number | 1871588806 |
|---|---|
| LBN Legal business name | Jones, Phillip Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Feb 8th, 2018 - about 6 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 | 1871588806 | NPPES |
| Tennessee | MEDICAID | 3384817 |
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