Phillips, John Martin

Phillips, John Martin is an individual health care provider with primary practice located at 1000 Breckenridge St Ste 300 , Owensboro KY 42303-0877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, John Martin can be contacted via phone (270) 688-4480.

Contact Information

Primary practice address
1000 Breckenridge St Ste 300 Owensboro KY 42303-0877
Phone: (270) 688-4480
Fax: (270) 688-4489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42304 Kentucky

Profile Details

NPI number 1124160296
LBN Legal business name Phillips, John Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated May 3rd, 2019 - about 5 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 1124160296 NPPES
Kentucky MEDICAID 201142810
Kentucky MEDICAID 7100077830

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