Phillips, John Mark

Phillips, John Mark is an individual health care provider with primary practice located at 1100 Kansas Ave Suite A, Modesto CA 95351-1596. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Phillips, John Mark can be contacted via phone (209) 558-7475.

Contact Information

Primary practice address
1100 Kansas Ave Suite A Modesto CA 95351-1596
Phone: (209) 558-7475
Fax: (209) 558-4042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 538019 California

Profile Details

NPI number 1407036361
LBN Legal business name Phillips, John Mark
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Nov 8th, 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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