Healthcare Provider Details

I. General information

NPI: 1346233384
Provider Name (Legal Business Name): BARBARA L PHILLIPS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 04/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WELLINGTON PL
CINCINNATI OH
45219-1758
US

IV. Provider business mailing address

111 WELLINGTON PL
CINCINNATI OH
45219-1758
US

V. Phone/Fax

Practice location:
  • Phone: 513-241-2370
  • Fax: 513-241-6053
Mailing address:
  • Phone: 513-241-2370
  • Fax: 513-241-6053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number38370
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number53596
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: