Phipps, William Russell
Phipps, William Russell is an individual health care provider with primary practice located at 12920 Us Highway 1 Ste A , Sebastian FL 32958-3772. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Phipps, William Russell can be contacted via phone (321) 727-7992.Contact Information
Primary practice address
12920 Us Highway 1 Ste A
Sebastian FL 32958-3772
Phone: (321) 727-7992
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 35088267 | Ohio |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 35088267 | Ohio |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME133891 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35088267 | Ohio |
Profile Details
NPI number | 1295758779 |
---|---|
LBN Legal business name | Phipps, William Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Apr 12th, 2024 - about 5 months 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 | 1295758779 | NPPES |
Florida | MEDICAID | 102517900 |
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