Phillips, John

Phillips, John is an individual health care provider with primary practice located at 110 Skyline Dr , Russellville AR 72801-3362. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Phillips, John can be contacted via phone (479) 968-1298.

Contact Information

Primary practice address
110 Skyline Dr Russellville AR 72801-3362
Fax: (479) 968-6053
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386813202
LBN Legal business name Phillips, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 16 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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