Phillips, Dan M

Phillips, Dan M is an individual health care provider with primary practice located at 3762 Durham Rd Ste A, Roxboro NC 27573-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Phillips, Dan M can be contacted via phone (336) 330-0400.

Contact Information

Primary practice address
3762 Durham Rd Ste A Roxboro NC 27573-2741
Phone: (336) 330-0400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39060 North Carolina

Profile Details

NPI number 1871633768
LBN Legal business name Phillips, Dan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 18th, 2012 - about 12 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 1871633768 NPPES
North Carolina MEDICAID 8967602

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