Phillips, Daniel J

Phillips, Daniel J is an individual health care provider with primary practice located at 2080 W Arlington Blvd Ste B , Greenville NC 27834-3770. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Phillips, Daniel J can be contacted via phone (527) 522-1402.

Contact Information

Primary practice address
2080 W Arlington Blvd Ste B Greenville NC 27834-3770
Phone: (527) 522-1402
Fax: (252) 689-6502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 185316 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 075314 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 417 North Carolina

Profile Details

NPI number 1679623656
LBN Legal business name Phillips, Daniel J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated May 4th, 2021 - about 3 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 1679623656 NPPES
North Carolina MEDICAID 8052847
North Carolina Other P0601416
North Carolina Other 201442673

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