Phillips, Mary Carol

Phillips, Mary Carol is an sole proprietor health care provider with primary practice located at 100 Ridge Ave , Washington PA 15301-3449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Phillips, Mary Carol can be contacted via phone (724) 250-7790.

Contact Information

Primary practice address
100 Ridge Ave Washington PA 15301-3449
Phone: (724) 250-7790
Fax: (724) 250-7568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X TP003855B Pennsylvania

Profile Details

NPI number 1487684981
LBN Legal business name Phillips, Mary Carol
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1487684981 NPPES
Pennsylvania Other TP003855B LICENCE

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