Phillips, Mark C

Phillips, Mark C is an sole proprietor health care provider with primary practice located at 860 N Myrtle Rd , Myrtle Creek OR 97457-9626. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Phillips, Mark C can be contacted via phone (541) 863-3410.

Contact Information

Primary practice address
860 N Myrtle Rd Myrtle Creek OR 97457-9626
Phone: (541) 863-3410
Fax: (541) 863-6435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD18731 Oregon
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD18731 Oregon

Profile Details

NPI number 1275568735
LBN Legal business name Phillips, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Mar 7th, 2023 - about 2 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 1275568735 NPPES
Oregon MEDICAID 065586
Oregon Other MD18731

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