Phillips, Michelle Nicole

Phillips, Michelle Nicole is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Phillips, Michelle Nicole can be contacted via phone (479) 725-6977.

Contact Information

Primary practice address
2601 Gene George Blvd Springdale AR 72762
Phone: (479) 725-6977
Fax: (479) 725-6577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA10164900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-10842 Arkansas

Profile Details

NPI number 1629599287
LBN Legal business name Phillips, Michelle Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2017
Last updated Jul 21st, 2022 - about 2 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 1629599287 NPPES
Arkansas MEDICAID 224759001

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