Phillips, Thomas G

Phillips, Thomas G is an individual health care provider with primary practice located at 95 Leonard Ave Bldg 2, Washington PA 15301-3368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phillips, Thomas G can be contacted via phone (724) 223-3100.

Contact Information

Primary practice address
95 Leonard Ave Bldg 2 Washington PA 15301-3368
Fax: (724) 223-3353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD024238E Pennsylvania

Profile Details

NPI number 1912966813
LBN Legal business name Phillips, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 2nd, 2008 - about 16 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 1912966813 NPPES
Other P002050 GATEWAY
MEDICAID 0010170490004 GATEWAY
Other 000038449 GATEWAY
Other 77391 GATEWAY
Other 102893 GATEWAY

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