National Provider Identifier Database

JEDAN PHILLIPS, MD – NPI #1659317956
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.


Contact Information

JEDAN PHILLIPS, MD
181 N BELLE MEAD RD
EAST SETAUKET, NY11733-3495
Phone: 111-111-1111
Fax:
Website:
Specialty Taxonomy Code
* Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for JEDAN PHILLIPS

NPI Number 1659317956
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 226998
  • NY Medicaid: 02361939
  • NY Other: 7044409 AETNA
  • NY Other: 54V391 EMPIRE BC.BS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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