Provider Demographics
NPI:1508997438
Name:VAN WHY, PHILLIP HARRY (24720000X)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:HARRY
Last Name:VAN WHY
Suffix:
Gender:M
Credentials:24720000X
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 AKRON STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043
Mailing Address - Country:US
Mailing Address - Phone:650-386-6613
Mailing Address - Fax:
Practice Address - Street 1:USCG AIR STATION SAN FRANCISCO
Practice Address - Street 2:SFO INTL. AIRPORT, BLDG 1020
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94128-3099
Practice Address - Country:US
Practice Address - Phone:650-808-2937
Practice Address - Fax:650-808-2916
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other