Phipps, Judith Joan

Phipps, Judith Joan is an individual health care provider with primary practice located at Rr1 Box 277 , Lawrenceville IL 62439. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Phipps, Judith Joan can be contacted via phone (618) 943-3754.

Contact Information

Primary practice address
Rr1 Box 277 Lawrenceville IL 62439
Fax: (618) 943-3754
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 036-105698 Illinois

Profile Details

NPI number 1366678161
LBN Legal business name Phipps, Judith Joan
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Jun 8th, 2009 - about 15 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 1366678161 NPPES
Illinois MEDICAID 37600178008

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