Philip, Jolly

Philip, Jolly is an individual health care provider with primary practice located at 1301 Shoreway Rd Ste 100 , Belmont CA 94002-4110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Philip, Jolly can be contacted via phone (650) 596-7000.

Contact Information

Primary practice address
1301 Shoreway Rd Ste 100 Belmont CA 94002-4110
Fax: (650) 596-7093
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C52441 California

Profile Details

NPI number 1487653556
LBN Legal business name Philip, Jolly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 4th, 2022 - about 2 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 1487653556 NPPES
Illinois MEDICAID 364249586001

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