Sandifer, Phillip Anthony
Sandifer, Phillip Anthony is an individual health care provider with primary practice located at 100 Baptist Memorial Cir Ste 330 , Oxford MS 38655-4477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sandifer, Phillip Anthony can be contacted via phone (662) 767-4201.Contact Information
Primary practice address
100 Baptist Memorial Cir Ste 330
Oxford MS 38655-4477
Phone: (662) 767-4201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25801 | Mississippi |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 10277685-1205 | Utah |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | T-2600 | Mississippi |
Profile Details
| NPI number | 1831453158 |
|---|---|
| LBN Legal business name | Sandifer, Phillip Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2012 |
| Last updated | Jul 21st, 2020 - about 4 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 | 1831453158 | NPPES |
| Mississippi | MEDICAID | 04526240 |
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