Phillips, Stephen D

Phillips, Stephen D is an individual health care provider with primary practice located at 960 E Fry Blvd , Sierra Vista AZ 85635-2640. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phillips, Stephen D can be contacted via phone (520) 515-3937.

Contact Information

Primary practice address
960 E Fry Blvd Sierra Vista AZ 85635-2640
Phone: (520) 515-3937
Fax: (520) 515-3860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1061 Arizona

Profile Details

NPI number 1922090984
LBN Legal business name Phillips, Stephen D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 26th, 2011 - 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 1922090984 NPPES
Arizona MEDICAID 500802002

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