Kissel, Phillip

Kissel, Phillip is an sole proprietor health care provider with primary practice located at 699 California Blvd Ste A , San Luis Obispo CA 93401-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kissel, Phillip can be contacted via phone (805) 544-4455.

Contact Information

Primary practice address
699 California Blvd Ste A San Luis Obispo CA 93401-2507
Phone: (805) 544-4455
Fax: (805) 544-5815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G53048 California

Profile Details

NPI number 1306877030
LBN Legal business name Kissel, Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306877030 NPPES
California MEDICAID 00G530480

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