PHILLIPS FOOT CLINIC NPI 1295123180

NPI Information

  • NPI: 1295123180
  • Provider Name: PHILLIPS FOOT CLINIC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: PHILLIPS FOOT CLINIC
  • Address: 5575 CONNER ST
    SUITE 203
    DETROIT, MI
    ZIP 48213
  • Phone: (313) 499-8307

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NPI Details

PHILLIPS FOOT CLINIC is a podiatrist in Detroit, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PHILLIPS FOOT CLINIC NPI is 1295123180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Phillips Foot Clinic.

The provider's business location address is:

5575 CONNER ST
SUITE 203
DETROIT, MI
ZIP 48213-400
Phone: (313) 499-8307

The provider's authorized official is Jacqueline Phillips .
The authorized official title is President and has the following contact phone number (313) 499-8307.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 2/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist5901001422MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10P36510MEDICARE UPINMICHIGAN
21821027756MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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