Phillips, Carmen

Phillips, Carmen is an individual health care provider with primary practice located at 260 Elm St , Somerville MA 02144-2951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phillips, Carmen can be contacted via phone (617) 666-9577.

Contact Information

Primary practice address
260 Elm St Somerville MA 02144-2951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN251726 Massachusetts

Profile Details

NPI number 1013328210
LBN Legal business name Phillips, Carmen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2014
Last updated Mar 30th, 2016 - about 8 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 1013328210 NPPES
Massachusetts Other RN251726 MA LICENSE

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