Phillips, Jodi Lynn
Phillips, Jodi Lynn is an sole proprietor health care provider with primary practice located at 765 Jordanville Road , Ilion NY 13357-3412. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Phillips, Jodi Lynn can be contacted via phone (315) 822-3356.Contact Information
Primary practice address
765 Jordanville Road
Ilion NY 13357-3412
Phone: (315) 822-3356
Fax: (315) 822-3167
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 273174-1 | New York |
Profile Details
NPI number | 1821297078 |
---|---|
LBN Legal business name | Phillips, Jodi Lynn |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 2007 |
Last updated | Jul 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821297078 | NPPES |
New York | MEDICAID | 02478857 |
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