Phillips, Stanley J

Phillips, Stanley J is an individual health care provider with primary practice located at 1184 E 80 N , American Fork UT 84003-2906. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Phillips, Stanley J can be contacted via phone (801) 763-3885.

Contact Information

Primary practice address
1184 E 80 N American Fork UT 84003-2906
Phone: (801) 763-3885
Fax: (801) 763-3887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 27973660501 Utah

Profile Details

NPI number 1841202397
LBN Legal business name Phillips, Stanley J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 9th, 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 1841202397 NPPES
Utah Other 005819102 MEDICARE PIN FOR FOOT & ANKLE CLINIC
Utah MEDICAID 203620216001 MEDICARE PIN FOR FOOT & ANKLE CLINIC

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