Phillips, Lori Ann

Phillips, Lori Ann is an individual health care provider with primary practice located at 7747 E 350 Rd , Mount Carmel IL 62863-4876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phillips, Lori Ann can be contacted via phone (618) 446-3124.

Contact Information

Primary practice address
7747 E 350 Rd Mount Carmel IL 62863-4876
Phone: (618) 446-3124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 309-000244 Illinois

Profile Details

NPI number 1124133673
LBN Legal business name Phillips, Lori Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 12th, 2018 - about 6 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 1124133673 NPPES
Illinois Other 500019533 RAILROAD MEDICARE

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