Phillips, Carl Douglas
Phillips, Carl Douglas is an sole proprietor health care provider with primary practice located at 109 Yorktown Dr Ste A , Alexandria LA 71303-3673. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Phillips, Carl Douglas can be contacted via phone (318) 542-4288.Contact Information
Primary practice address
109 Yorktown Dr Ste A
Alexandria LA 71303-3673
Phone: (318) 542-4288
Fax: (318) 704-6201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP06562 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN115788-AP06562 | Louisiana |
Profile Details
NPI number | 1679853477 |
---|---|
LBN Legal business name | Phillips, Carl Douglas |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2011 |
Last updated | Apr 5th, 2024 - about 8 months 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 | 1679853477 | NPPES |
Louisiana | MEDICAID | 2160648 |
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