Phillips, Edward K.

Phillips, Edward K. is an individual health care provider with primary practice located at 1010 Lakeland Square Ext Ste B , Flowood MS 39232-7607. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Phillips, Edward K. can be contacted via phone (601) 936-0890.

Contact Information

Primary practice address
1010 Lakeland Square Ext Ste B Flowood MS 39232-7607
Phone: (601) 936-0890
Fax: (601) 936-0891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9170 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 09170 Mississippi

Profile Details

NPI number 1366555328
LBN Legal business name Phillips, Edward K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 27th, 2020 - about 4 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 1366555328 NPPES
Mississippi MEDICAID 00115950

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