Provider Demographics
NPI:1447210281
Name:PHILIPPI, ALAN FREDERICK (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:FREDERICK
Last Name:PHILIPPI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1408 DUCK RUN CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3966
Mailing Address - Country:US
Mailing Address - Phone:757-490-3424
Mailing Address - Fax:
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:OCCUPATIONAL HEALTH CLINIC
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-5080
Practice Address - Fax:757-953-7552
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01020500092083P0500X, 2083P0901X, 2083S0010X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine