Phillips, Jeffrey

Phillips, Jeffrey is an individual health care provider with primary practice located at 620 Alabama St , Redlands CA 92373-8059. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Phillips, Jeffrey can be contacted via phone (909) 792-4434.

Contact Information

Primary practice address
620 Alabama St Redlands CA 92373-8059
Phone: (909) 792-4434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0221220 California

Profile Details

NPI number 1174674089
LBN Legal business name Phillips, Jeffrey
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 9th, 2007 - about 17 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 1174674089 NPPES
California MEDICAID DC0221220

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