Phillips, Katie Marie
Phillips, Katie Marie is an sole proprietor health care provider with primary practice located at 2339 Lake Park Dr , Albany GA 31707-3360. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Phillips, Katie Marie can be contacted via phone (229) 553-0992.Contact Information
Primary practice address
2339 Lake Park Dr
Albany GA 31707-3360
Phone: (229) 553-0992
Fax: (229) 638-6302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Georgia |
Profile Details
| NPI number | 1164726824 |
|---|---|
| LBN Legal business name | Phillips, Katie Marie |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2011 |
| Last updated | Dec 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164726824 | NPPES |
| Georgia | Other | 208144244 | 208144244 |
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