Phillips, Deirdre M.
Phillips, Deirdre M. is an sole proprietor health care provider with primary practice located at 1888 Main St Ste C Box 277, Madison MS 39110-6337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phillips, Deirdre M. can be contacted via phone (601) 594-2609.Contact Information
Primary practice address
1888 Main St Ste C Box 277
Madison MS 39110-6337
Phone: (601) 594-2609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 07045 | Mississippi |
Profile Details
| NPI number | 1750472643 |
|---|---|
| LBN Legal business name | Phillips, Deirdre M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jan 24th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750472643 | NPPES |
| Mississippi | MEDICAID | 0112697 |
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