Serbin, Philip A.

Serbin, Philip A. is an individual health care provider with primary practice located at 701 Mcfarland St , Morristown TN 37814-3977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Serbin, Philip A. can be contacted via phone (423) 581-6084.

Contact Information

Primary practice address
701 Mcfarland St Morristown TN 37814-3977
Phone: (423) 581-6084
Fax: (423) 581-6078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01043057A Indiana

Profile Details

NPI number 1336153311
LBN Legal business name Serbin, Philip A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 30th, 2020 - about 5 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 1336153311 NPPES
Indiana Other 100194370 MEDICAID GROUP NUMBER
Indiana MEDICAID 100462170 MEDICAID GROUP NUMBER
Indiana MEDICAID Q005360 MEDICAID GROUP NUMBER
Indiana Other 340017214 MEDICAID GROUP NUMBER
Indiana Other 000000091700 MEDICAID GROUP NUMBER

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