Phillips, Mark G

Phillips, Mark G is an individual health care provider with primary practice located at 2013 Ponce Deleon Ave Palm Beach Pathology Pa, West Palm Beach FL 33407-6019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Phillips, Mark G can be contacted via phone (561) 659-0770.

Contact Information

Primary practice address
2013 Ponce Deleon Ave Palm Beach Pathology Pa West Palm Beach FL 33407-6019
Phone: (561) 659-0770
Fax: (561) 802-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME55124 Florida

Profile Details

NPI number 1063494375
LBN Legal business name Phillips, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Aug 27th, 2010 - about 15 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 1063494375 NPPES
Other 220011725 RAILROAD MEDICARE
MEDICAID 057823100 RAILROAD MEDICARE
Other 14419 RAILROAD MEDICARE

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