Phillips, Alfred J

Phillips, Alfred J is an individual health care provider with primary practice located at 100 Camp St , Hyannis MA 02601-3063. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Phillips, Alfred J can be contacted via phone (508) 775-1984.

Contact Information

Primary practice address
100 Camp St Hyannis MA 02601-3063
Fax: (508) 790-1897
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1916 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1916 Massachusetts

Profile Details

NPI number 1982727129
LBN Legal business name Phillips, Alfred J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated May 21st, 2021 - about 3 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 1982727129 NPPES
Massachusetts MEDICAID 362972
Massachusetts Other Y70921

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