Phillips, Stephanie

Phillips, Stephanie is an individual health care provider with primary practice located at 777 E Route 70 # G-101 , Marlton NJ 08053-2341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Phillips, Stephanie can be contacted via phone (856) 983-9939.

Contact Information

Primary practice address
777 E Route 70 # G-101 Marlton NJ 08053-2341
Phone: (856) 983-9939
Fax: (856) 983-9936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00361800 New Jersey

Profile Details

NPI number 1710370135
LBN Legal business name Phillips, Stephanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2015
Last updated Mar 10th, 2015 - about 10 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 1710370135 NPPES
New Jersey Other 25MP00361800 NJ PHYSICIAN ASSISTANT LICENSE

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