Phillips, Michael J

Phillips, Michael J is an sole proprietor health care provider with primary practice located at 55 1St Pl Nw , Issaquah WA 98027-3271. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Phillips, Michael J can be contacted via phone (425) 392-0277.

Contact Information

Primary practice address
55 1St Pl Nw Issaquah WA 98027-3271
Phone: (425) 392-0277
Fax: (425) 392-2509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00001614 Washington

Profile Details

NPI number 1497803001
LBN Legal business name Phillips, Michael J
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
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 1497803001 NPPES
Washington Other PH3914 REGENCE PIN
Washington Other 4655971 REGENCE PIN

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