Phillips, Roger Alan

Phillips, Roger Alan is an individual health care provider with primary practice located at 270 Hoover Blvd , Holland MI 49423-3719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Phillips, Roger Alan can be contacted via phone (616) 396-2972.

Contact Information

Primary practice address
270 Hoover Blvd Holland MI 49423-3719
Phone: (616) 396-2972
Fax: (616) 396-2808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 4301047365 Michigan

Profile Details

NPI number 1922049600
LBN Legal business name Phillips, Roger Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Nov 26th, 2012 - about 13 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 1922049600 NPPES
Michigan MEDICAID 1739680

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