Phillips, Samuel P

Phillips, Samuel P is an individual health care provider with primary practice located at 8005 Farnam Dr Ste 305 , Omaha NE 68114-3426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Phillips, Samuel P can be contacted via phone (402) 390-4111.

Contact Information

Primary practice address
8005 Farnam Dr Ste 305 Omaha NE 68114-3426
Fax: (402) 390-4115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19522 Nebraska

Profile Details

NPI number 1033150610
LBN Legal business name Phillips, Samuel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 15th, 2023 - 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 1033150610 NPPES
Nebraska MEDICAID 47063010113
Nebraska MEDICAID 1576975
Nebraska Other 30680

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