Ley, Phillip Blaine
Ley, Phillip Blaine is an individual health care provider with primary practice located at 1020 N Flowood Dr Ste A , Flowood MS 39232-9532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Ley, Phillip Blaine can be contacted via phone (601) 933-6132.Contact Information
Primary practice address
1020 N Flowood Dr Ste A
Flowood MS 39232-9532
Phone: (601) 933-6132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 14786 | Mississippi |
Profile Details
| NPI number | 1790890499 |
|---|---|
| LBN Legal business name | Ley, Phillip Blaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 19th, 2020 - about 5 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 | 1790890499 | NPPES |
| Mississippi | MEDICAID | 000116599 |
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