Phillips, Michael Edward

Phillips, Michael Edward is an individual health care provider with primary practice located at 762 Route 3 Suite 14, Plattsburgh NY 12901-7472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Phillips, Michael Edward can be contacted via phone (518) 562-3204.

Contact Information

Primary practice address
762 Route 3 Suite 14 Plattsburgh NY 12901-7472
Phone: (518) 562-3204
Fax: (518) 563-0707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1854331 New York

Profile Details

NPI number 1619934148
LBN Legal business name Phillips, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619934148 NPPES
New York MEDICAID 01264126

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