Phipps, Douglas Rex

Phipps, Douglas Rex is an individual health care provider with primary practice located at 745 Buena Vista Dr , Lander WY 82520-3431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phipps, Douglas Rex can be contacted via phone (307) 332-2941.

Contact Information

Primary practice address
745 Buena Vista Dr Lander WY 82520-3431
Fax: (307) 332-2068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3442A Wyoming

Profile Details

NPI number 1508952276
LBN Legal business name Phipps, Douglas Rex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1508952276 NPPES
Other 080035565 MEDICARE RAILROAD RETIREM
Other 302199 MEDICARE RAILROAD RETIREM
MEDICAID 104167300 MEDICARE RAILROAD RETIREM

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