Porcelli, Phillip Michael
Porcelli, Phillip Michael is an individual health care provider with primary practice located at 3533 Southern Blvd Suite 5350, Kettering OH 45429-1264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Porcelli, Phillip Michael can be contacted via phone (937) 643-9299.Contact Information
Primary practice address
3533 Southern Blvd Suite 5350
Kettering OH 45429-1264
Phone: (937) 643-9299
Fax: (937) 643-2343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | BB0454912(81) | Illinois |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 34010246 | Ohio |
Profile Details
| NPI number | 1629287677 |
|---|---|
| LBN Legal business name | Porcelli, Phillip Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Sep 25th, 2014 - about 10 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 | 1629287677 | NPPES |
| Ohio | MEDICAID | 0050529 |
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