Phillips, David L.

Phillips, David L. is an individual health care provider with primary practice located at 4802E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Phillips, David L. can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 936-8000
Fax: (870) 934-3629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E1753 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X E-1753 Arkansas

Profile Details

NPI number 1285605816
LBN Legal business name Phillips, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Nov 17th, 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 1285605816 NPPES
Arkansas MEDICAID 134437001

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