Lowe, Phillip

Lowe, Phillip is an individual health care provider with primary practice located at 555 E Broadway Suite 207, Jackson WY 83001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Lowe, Phillip can be contacted via phone (307) 733-7460.

Contact Information

Primary practice address
555 E Broadway Suite 207 Jackson WY 83001
Phone: (307) 733-7460
Fax: (307) 733-7482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 6215A Wyoming
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 6215A Wyoming

Profile Details

NPI number 1356406599
LBN Legal business name Lowe, Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 18th, 2008 - 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 1356406599 NPPES
Idaho MEDICAID 806233600
Idaho MEDICAID 806684400
Idaho MEDICAID 118827500
Idaho MEDICAID 114954700

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