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Contact Information

JALISA PHILLIPS
8100 NORTHLAND DR.
MINNEAPOLIS, MN55431
 Phone: 952-831-8742
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JALISA PHILLIPS · (Female)

NPI # 1588103477
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2017
Last updated 02/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2723
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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