Phillips, Matthew W

Phillips, Matthew W is an individual health care provider with primary practice located at 340 Oxford Street Suite 220, Dover OH 44622-1967. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Phillips, Matthew W can be contacted via phone (330) 364-8011.

Contact Information

Primary practice address
340 Oxford Street Suite 220 Dover OH 44622-1967
Phone: (330) 364-8011
Fax: (330) 364-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-052082 Ohio

Profile Details

NPI number 1871501411
LBN Legal business name Phillips, Matthew W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 13th, 2012 - about 13 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 1871501411 NPPES
Ohio Other 341832667 STANDARD TAX ID
Ohio Other I7880 STANDARD TAX ID
Ohio MEDICAID 0697938 STANDARD TAX ID
Ohio Other 020042125 STANDARD TAX ID
Ohio Other 0646330 STANDARD TAX ID
Ohio Other 000000139928 STANDARD TAX ID
Ohio MEDICAID 2080966 STANDARD TAX ID
Ohio Other I700421 STANDARD TAX ID
Ohio Other 341832667A STANDARD TAX ID

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