Phillips, Jason

Phillips, Jason is an sole proprietor health care provider with primary practice located at 48 Tunnel Rd Suite 203, Pottsville PA 17901-3875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Phillips, Jason can be contacted via phone (570) 624-4777.

Contact Information

Primary practice address
48 Tunnel Rd Suite 203 Pottsville PA 17901-3875
Phone: (570) 624-4777
Fax: (570) 624-4778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD432171 Pennsylvania

Profile Details

NPI number 1639386303
LBN Legal business name Phillips, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Sep 22nd, 2014 - about 11 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 1639386303 NPPES
Pennsylvania MEDICAID 102721560001

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