Jacqueline Phillips Dpm Inc in Detroit - Podiatrist

Jacqueline Phillips Dpm Inc - NPI 1821027756

Jacqueline Phillips Dpm Inc is a Podiatrist in Detroit, Michigan. Jacqueline Phillips Dpm Inc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jacqueline Phillips Dpm Inc is 1821027756. The last update date is 2011-12-09.

Jacqueline Phillips Dpm Inc's current location address is 5575 Conner St, Detroit, Michigan. You can contact this provider via phone number 3133454449. The mailing address for Jacqueline Phillips Dpm Inc is 5575 Conner St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacqueline Phillips Dpm Inc
Address 5575 Conner St, Detroit, Michigan
Phone Number 3133454449
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PODIATRIST
Authorized Official Name Phillips Jacqueline
Credentials DPM
Telephone Number 3133454449

NPI Number Detail

NPI Number 1821027756
Provider Enumeration Date 2006-07-02
Last Updated Date 2011-12-09

Provider Mailing Address Detail

Address 5575 Conner St
City Detroit
State Michigan (MI)
Post Code 482136400
Phone Number 3133454449
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901001422
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480H232340 MI BCBS PIN
134313228 MI --

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FAQs about Jacqueline Phillips Dpm Inc

What is the Jacqueline Phillips Dpm Inc's 1821027756?

The Jacqueline Phillips Dpm Inc's NPI (National Provider Identifier) Number is 1821027756. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jacqueline Phillips Dpm Inc is located?

The Jacqueline Phillips Dpm Inc is situated at the following address: 5575 Conner St, Detroit, MI, 482136400.

What is the Jacqueline Phillips Dpm Inc's specialty and taxonomy code?

The Jacqueline Phillips Dpm Inc's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.

When did Jacqueline Phillips Dpm Inc receive its 1821027756 assignment?

The Jacqueline Phillips Dpm Inc was assigned its 1821027756 on 2006-07-02, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jacqueline Phillips Dpm Inc most recently updated?

The details pertaining to the Jacqueline Phillips Dpm Inc, including its address, specialty, and other relevant information, were last refreshed on 2011-12-09.

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