Phillips, George C
Phillips, George C is an individual health care provider with primary practice located at 3101 Broadway Blvd , Kansas City MO 64111-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, George C can be contacted via phone (816) 960-3070.Contact Information
Primary practice address
3101 Broadway Blvd
Kansas City MO 64111-2659
Phone: (816) 960-3070
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015022188 | Missouri |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-38278 | Kansas |
Profile Details
NPI number | 1013902709 |
---|---|
LBN Legal business name | Phillips, George C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 19th, 2005 |
Last updated | Aug 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013902709 | NPPES |
Iowa | MEDICAID | D266494 | |
Iowa | Other | 48627 |
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