Phipps, William Revelle

Phipps, William Revelle is an individual health care provider with primary practice located at 12200 W 106Th St Suite 120, Overland Park KS 66215-2305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Phipps, William Revelle can be contacted via phone (913) 894-2323.

Contact Information

Primary practice address
12200 W 106Th St Suite 120 Overland Park KS 66215-2305
Phone: (913) 894-2323
Fax: (913) 894-0841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 04-38170 Kansas

Profile Details

NPI number 1053348979
LBN Legal business name Phipps, William Revelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 13th, 2016 - about 9 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 1053348979 NPPES
New York Other 4418300 AETNA
New York Other MD428P AETNA
New York Other P010187220 AETNA
New York MEDICAID 01262853 AETNA
New York Other 2075 AETNA

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