Minshew, Philip Tyler
Minshew, Philip Tyler is an individual health care provider with primary practice located at 2722 Merrilee Dr Ste 230, Fairfax VA 22031-4420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Minshew, Philip Tyler can be contacted via phone (703) 698-4483.Contact Information
Primary practice address
2722 Merrilee Dr Ste 230
Fairfax VA 22031-4420
Phone: (703) 698-4483
Fax: (703) 573-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A91817 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101243052 | Virginia |
Profile Details
| NPI number | 1447221593 |
|---|---|
| LBN Legal business name | Minshew, Philip Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Oct 29th, 2008 - about 16 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 | 1447221593 | NPPES |
| District of Columbia | Other | P00622666 | RR MEDICARE |
| District of Columbia | Other | 273522 | RR MEDICARE |
| District of Columbia | Other | 0101243052 | RR MEDICARE |
| District of Columbia | Other | 0104 | RR MEDICARE |
| District of Columbia | MEDICAID | 3810011982 | RR MEDICARE |
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