Phillips, Edyth Darlene
Phillips, Edyth Darlene is an sole proprietor health care provider with primary practice located at 3200 78Th Ave. S.E. , Mercer Island WA 98040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Phillips, Edyth Darlene can be contacted via phone (206) 232-7218.Contact Information
Primary practice address
3200 78Th Ave. S.E.
Mercer Island WA 98040
Phone: (206) 232-7218
Fax: (206) 232-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00009064 | Washington |
Profile Details
| NPI number | 1922024009 |
|---|---|
| LBN Legal business name | Phillips, Edyth Darlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 13th, 2018 - about 6 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 | 1922024009 | NPPES |
| Washington | MEDICAID | 1904309 | |
| Washington | Other | 0102864 |
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