Phillips, Robert Owen

Phillips, Robert Owen is an individual health care provider with primary practice located at 1311 Highland Rd , Roswell NM 88201-2144. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Phillips, Robert Owen can be contacted via phone (575) 623-3213.

Contact Information

Primary practice address
1311 Highland Rd Roswell NM 88201-2144
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-05075 New Mexico

Profile Details

NPI number 1568736452
LBN Legal business name Phillips, Robert Owen
Credentials DBH, LMSW, LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2012
Last updated Jan 8th, 2013 - about 11 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 1568736452 NPPES
New Mexico MEDICAID 30831814

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