Gipson, Stephen Lavon
Gipson, Stephen Lavon is an individual health care provider with primary practice located at 6005 Park Ave Suite 400, Memphis TN 38119-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gipson, Stephen Lavon can be contacted via phone (901) 767-9500.Contact Information
Primary practice address
6005 Park Ave Suite 400
Memphis TN 38119-5215
Phone: (901) 767-9500
Fax: (907) 767-7324
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD14982 | Tennessee |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 0000014982 | Tennessee |
Profile Details
NPI number | 1205911518 |
---|---|
LBN Legal business name | Gipson, Stephen Lavon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2006 |
Last updated | Jan 10th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205911518 | NPPES |
Tennessee | Other | 125345900 | US DEPT OF LABOR |
Tennessee | Other | 4226549 | US DEPT OF LABOR |
Tennessee | Other | 40796 | US DEPT OF LABOR |
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