Mehaffey, Philip C

Mehaffey, Philip C is an individual health care provider with primary practice located at 25 N Winfield Road , Winfield IL 60190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mehaffey, Philip C can be contacted via phone (630) 933-2048.

Contact Information

Primary practice address
25 N Winfield Road Winfield IL 60190
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036098282 Illinois

Profile Details

NPI number 1487723193
LBN Legal business name Mehaffey, Philip C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 1st, 2011 - about 13 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 1487723193 NPPES
Illinois Other P00363137 RAILROAD MEDICARE
Illinois MEDICAID 036098282 RAILROAD MEDICARE

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