Dr. Jacob William Phillips
Hospice and Palliative Medicine
1801 Mccormick Dr Ste 180
Largo
, Maryland 20774-5345
Dr. Jacob William Phillips
Hospice and Palliative Medicine
1801 Mccormick Dr Ste 180
Largo
, Maryland 20774-5345
(301) 883-0866
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About
Features
Specialties
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Jacob William Phillips
- 1801 Mccormick Dr Ste 180
- Largo, MD
- Zip : 20774-5345
- Phone : (301) 883-0866
Second Address
- Dr. Jacob William Phillips
- 1801 Mccormick Dr Ste 180
- Largo, MD
- Zip : 20774-5345
- Phone : (301) 883-0866
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | H0089766 | MD |
National Provider Identifier
| NPI | 1235526989 |
|---|---|
| Provider Name | Dr. Jacob William Phillips |
| First Address | Largo, MD 20774-5345 |
| Second Address | Largo, MD 20774-5345 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2015 |
| Last Update Date | 30/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.