Phillips, Donald Michael

Phillips, Donald Michael is an sole proprietor health care provider with primary practice located at 1356 S Lake Park Ave , Hobart IN 46342-5964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phillips, Donald Michael can be contacted via phone (219) 942-8518.

Contact Information

Primary practice address
1356 S Lake Park Ave Hobart IN 46342-5964
Phone: (219) 942-8518
Fax: (219) 947-2751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01020846A Indiana

Profile Details

NPI number 1720068646
LBN Legal business name Phillips, Donald Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Sep 16th, 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 1720068646 NPPES
Indiana Other 000000086604 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 100159850A BLUE CROSS BLUE SHIELD

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