Phillips, Eric A

Phillips, Eric A is an individual health care provider with primary practice located at 2800 Baltane Rd , West Bloomfield MI 48323-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phillips, Eric A can be contacted via phone (734) 464-0887.

Contact Information

Primary practice address
2800 Baltane Rd West Bloomfield MI 48323-3100
Fax: (734) 402-0254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007871 Michigan

Profile Details

NPI number 1437135134
LBN Legal business name Phillips, Eric A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Sep 17th, 2015 - about 9 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 1437135134 NPPES
Michigan MEDICAID 1437135134
Michigan Other 5630465
Michigan Other 507906
Michigan Other 700H219150

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