Speller, Philip J

Speller, Philip J is an individual health care provider with primary practice located at 995 Senator Keating Blvd Building E Suite 100, Rochester NY 14618-2775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Speller, Philip J can be contacted via phone (585) 241-6400.

Contact Information

Primary practice address
995 Senator Keating Blvd Building E Suite 100 Rochester NY 14618-2775
Phone: (585) 241-6400
Fax: (585) 241-6505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 237876 New York

Profile Details

NPI number 1174598833
LBN Legal business name Speller, Philip J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Dec 9th, 2013 - about 12 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 1174598833 NPPES
New York MEDICAID 02690600

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