Phillips, Mariana A

Phillips, Mariana A is an individual health care provider with primary practice located at 1 Riverside Cir Suite 300, Roanoke VA 24016-4962. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Phillips, Mariana A can be contacted via phone (540) 581-0160.

Contact Information

Primary practice address
1 Riverside Cir Suite 300 Roanoke VA 24016-4962
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101235823 Virginia

Profile Details

NPI number 1851322895
LBN Legal business name Phillips, Mariana A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 11th, 2011 - about 14 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 1851322895 NPPES
Virginia MEDICAID 010187306
Virginia Other P00459778

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