Phillips, Ellen D

Phillips, Ellen D is an individual health care provider with primary practice located at 1118 Ross Clark Cir Suite 402, Dothan AL 36301-3001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Phillips, Ellen D can be contacted via phone (334) 673-3633.

Contact Information

Primary practice address
1118 Ross Clark Cir Suite 402 Dothan AL 36301-3001
Phone: (334) 673-3633
Fax: (334) 836-2893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28733 Alabama

Profile Details

NPI number 1487699716
LBN Legal business name Phillips, Ellen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 20th, 2009 - about 15 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 1487699716 NPPES
Alabama MEDICAID 009928965
Alabama MEDICAID 172534578A

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