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Contact Information

MARIO D PHILLIPS JR, IDC
745 EDEN WAY NORTH
CHESAPEAKE, VA23320
 Phone: 757-560-2457
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for MARIO D PHILLIPS JR · (Male)

NPI Number 1336582774
Status Active
Credentials IDC
Entity Individual
Enumeration date 04/16/2013
Last updated 04/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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