Phillips, Charles Vincent

Phillips, Charles Vincent is an sole proprietor health care provider with primary practice located at 3838 San Dimas St Ste B-231, Bakersfield CA 93301-2284. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Phillips, Charles Vincent can be contacted via phone (661) 665-0505.

Contact Information

Primary practice address
3838 San Dimas St Ste B-231 Bakersfield CA 93301-2284
Phone: (661) 665-0505
Fax: (661) 665-7844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C37044 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X C37044 California

Profile Details

NPI number 1891791299
LBN Legal business name Phillips, Charles Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Feb 25th, 2015 - about 10 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 1891791299 NPPES
California Other 020000590 MEDICARE RAILROAD
California MEDICAID GR0062760 MEDICARE RAILROAD

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