Phillips, David Peeair

Phillips, David Peeair is an sole proprietor health care provider with primary practice located at 1187 Pocono Blvd , Mount Pocono PA 18344-1046. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Phillips, David Peeair can be contacted via phone (570) 242-5098.

Contact Information

Primary practice address
1187 Pocono Blvd Mount Pocono PA 18344-1046
Phone: (570) 242-5098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 16663 Pennsylvania

Profile Details

NPI number 1295486009
LBN Legal business name Phillips, David Peeair
Credentials MCC, EDD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2022
Last updated Jan 13th, 2022 - about 2 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 1295486009 NPPES
Pennsylvania MEDICAID 2972261

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