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
Fax: (315) 822-3167
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821297078 NPPES
New York MEDICAID 02478857

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