Medina, Phillip A
Medina, Phillip A is an sole proprietor health care provider with primary practice located at 4361 Talbot Road S #102, Renton WA 98055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Medina, Phillip A can be contacted via phone (425) 226-1180.Contact Information
Primary practice address
4361 Talbot Road S #102
Renton WA 98055
Phone: (425) 226-1180
Fax: (425) 235-0695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD00028329 | Washington |
Profile Details
| NPI number | 1720040371 |
|---|---|
| LBN Legal business name | Medina, Phillip A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Oct 17th, 2013 - about 11 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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