Phillips, Charlene

Phillips, Charlene is an sole proprietor health care provider with primary practice located at 702 Woodlytown Rd , Magnolia DE 19962-1622. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Phillips, Charlene can be contacted via phone (302) 573-1231.

Contact Information

Primary practice address
702 Woodlytown Rd Magnolia DE 19962-1622
Phone: (302) 573-1231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X Delaware

Profile Details

NPI number 1063019784
LBN Legal business name Phillips, Charlene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 5 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 1063019784 NPPES
Delaware MEDICAID 2505446377

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