Smith, Philip
Smith, Philip is an individual health care provider with primary practice located at 8221 Willow Oaks Corporate Dr , Fairfax VA 22031-4512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Smith, Philip can be contacted via phone (703) 207-7818.Contact Information
Primary practice address
8221 Willow Oaks Corporate Dr
Fairfax VA 22031-4512
Phone: (703) 207-7818
Fax: (703) 653-6692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD034477 | District of Columbia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0101058192 | Virginia |
Profile Details
| NPI number | 1780608984 |
|---|---|
| LBN Legal business name | Smith, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Dec 11th, 2016 - about 9 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 | 1780608984 | NPPES |
| Virginia | Other | 0101058192 | MEDICAL LICENSE |
| Virginia | Other | MD034477 | MEDICAL LICENSE |
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