Neustadt, Philip Marc

Neustadt, Philip Marc is an individual health care provider with primary practice located at 1200 N Elm St , Greensboro NC 27401-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Neustadt, Philip Marc can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1200 N Elm St Greensboro NC 27401-1004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 66-00208 North Carolina

Profile Details

NPI number 1447215223
LBN Legal business name Neustadt, Philip Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 9th, 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 1447215223 NPPES
North Carolina MEDICAID 891194X
North Carolina Other 1194X
North Carolina Other 39-08290
North Carolina Other 95754

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