Phillips, Chad

Phillips, Chad is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Phillips, Chad can be contacted via phone (918) 744-3528.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Fax: (918) 744-3529
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23901 Oklahoma
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 23901 Oklahoma

Profile Details

NPI number 1053341453
LBN Legal business name Phillips, Chad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 29th, 2024 - about last year

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 1053341453 NPPES
Oklahoma MEDICAID 200032130A

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