Mr Earnest Ray Phillips Jr, BA is a
Rehabilitation Practitioner based in Pasadena, California. Mr Earnest Ray Phillips Jr is licensed to practice in California (license number ) and his current practice location is
940 Avenue 64, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(323) 254-2274.
NPI number for Mr Earnest Ray Phillips Jr is 1194963009 and his current mailing address is 940 Avenue 64, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194963009.
Healthcare Provider's Profile
| Full Name | Mr Earnest Ray Phillips Jr |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 940 Avenue 64, Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194963009
- Provider Enumeration Date: 01/30/2009
- Last Update Date: 07/18/2013
Medical Identifiers
Medical identifiers for Mr Earnest Ray Phillips Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194963009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Earnest Ray Phillips Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Earnest Ray Phillips Jr, BA
940 Avenue 64,
Pasadena, CA 91105
Ph: (323) 254-2274 | Mr Earnest Ray Phillips Jr, BA
940 Avenue 64,
Pasadena, CA 91105
Ph: (323) 254-2274 |
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