National Provider Identifier
Jacob W Phillips, M.D.
Jacob W Phillips, M.D. is listed in the NPPES registry with a primary specialty of General Practice Physician in North Chili, NY and a listed phone number of (585) 594-5995.
Profile Overview
- NPI
- 1730317868
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- June 26, 2009
- Last Updated
- February 28, 2023
Practice Location
- 4201 Buffalo Road, Suite 1
- North Chili, NY 14514-1256
Phone: (585) 594-5995
Mailing Address
- PO Box 505
- North Chili, NY 14514-0505
Specialties
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1730317868
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Jacob
- Middle Name
- W
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- PO Box 505
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514-0505
- Mailing Country
- US
- Mailing Phone
- (585) 594-5995
- Mailing Fax
- (585) 594-5425
- Practice Street Address
- 4201 Buffalo Road, Suite 1
- Practice City
- North Chili
- Practice State
- NY
- Practice ZIP Code
- 14514-1256
- Practice Country
- US
- Practice Phone
- (585) 594-5995
- Practice Fax
- (585) 594-5425
- Enumeration Date
- June 26, 2009
- Last Updated
- February 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X)