Dipman, Jason

Dipman, Jason is an sole proprietor health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, Other Service Providers / Specialist. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Dipman, Jason can be contacted via phone (616) 364-4200.

Contact Information

Primary practice address
100 Michigan St Ne Grand Rapids MI 49503
Phone: (616) 364-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 1227 Michigan
Other Service Providers / Specialist 174400000X 2011032475 Missouri

Profile Details

NPI number 1053694976
LBN Legal business name Dipman, Jason
Credentials AA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2011
Last updated Dec 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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