Phipps, Larry S
Phipps, Larry S is an individual health care provider with primary practice located at 30901 Palmer Rd , Westland MI 48186-9529. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Phipps, Larry S can be contacted via phone (734) 367-8477.Contact Information
Primary practice address
30901 Palmer Rd
Westland MI 48186-9529
Phone: (734) 367-8477
Fax: (734) 722-9524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 23662 |
Profile Details
| NPI number | 1790977593 |
|---|---|
| LBN Legal business name | Phipps, Larry S |
| Credentials | BS, CTRS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790977593 | NPPES |
| Other | 23662 | CERTIFICATION | |
| Other | 1508883299 | CERTIFICATION |
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