Poth, Phillip W

Poth, Phillip W is an individual health care provider with primary practice located at 3220 Mission Ave Ste 1 , Oceanside CA 92058-1354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Poth, Phillip W can be contacted via phone (760) 736-6767.

Contact Information

Primary practice address
3220 Mission Ave Ste 1 Oceanside CA 92058-1354
Phone: (760) 736-6767
Fax: (760) 736-8740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C135333 California

Profile Details

NPI number 1649370164
LBN Legal business name Poth, Phillip W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jul 21st, 2022 - about 3 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 1649370164 NPPES
Maryland MEDICAID 408623600

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