Phillips, Heather E

Phillips, Heather E is an individual health care provider with primary practice located at 4790 Executive Centre Pkwy , Saint Peters MO 63376-1606. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Phillips, Heather E can be contacted via phone (636) 441-3100.

Contact Information

Primary practice address
4790 Executive Centre Pkwy Saint Peters MO 63376-1606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2012020311 Missouri

Profile Details

NPI number 1184973380
LBN Legal business name Phillips, Heather E
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Jan 9th, 2023 - about 2 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 1184973380 NPPES
Missouri Other 431560263 TRICARE
Missouri MEDICAID 1184973380 TRICARE

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