Phillips, Robert Melvin

Phillips, Robert Melvin is an individual health care provider with primary practice located at 35 South Johnson Street Suite 1B, Pontiac MI 48341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phillips, Robert Melvin can be contacted via phone (248) 334-9542.

Contact Information

Primary practice address
35 South Johnson Street Suite 1B Pontiac MI 48341
Phone: (248) 334-9542
Fax: (248) 334-6792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301047298 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301047298 Michigan

Profile Details

NPI number 1760443600
LBN Legal business name Phillips, Robert Melvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Mar 4th, 2021 - about 3 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 1760443600 NPPES
Michigan Other RP047298 BCBS
Michigan MEDICAID 332609910 BCBS
Michigan MEDICAID 104952354 BCBS
Michigan Other 110636895 BCBS

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