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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568736452 | NPPES |
New Mexico | MEDICAID | 30831814 |
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