Phipps, Bradley G.

Phipps, Bradley G. is an individual health care provider with primary practice located at 4951 W 18Th St , Lawrence KS 66047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phipps, Bradley G. can be contacted via phone (785) 841-6540.

Contact Information

Primary practice address
4951 W 18Th St Lawrence KS 66047
Phone: (785) 841-6540
Fax: (785) 865-4214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 420176 Kansas

Profile Details

NPI number 1396708442
LBN Legal business name Phipps, Bradley G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 5th, 2010 - about 14 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 1396708442 NPPES
Kansas MEDICAID 100201720C

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