Phillips, Edward Michael

Phillips, Edward Michael is an individual health care provider with primary practice located at 601 Colliers Way , Weirton WV 26062-5014. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Phillips, Edward Michael can be contacted via phone (304) 797-6000.

Contact Information

Primary practice address
601 Colliers Way Weirton WV 26062-5014
Phone: (304) 797-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 58610 West Virginia

Profile Details

NPI number 1801960109
LBN Legal business name Phillips, Edward Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1801960109 NPPES
West Virginia MEDICAID 2603370000

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