Gipson, Tanjala Trinette
Gipson, Tanjala Trinette is an individual health care provider with primary practice located at 51 N Dunlap St Ste 400 , Memphis TN 38105-4625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Gipson, Tanjala Trinette can be contacted via phone (901) 287-7337.Contact Information
Primary practice address
51 N Dunlap St Ste 400
Memphis TN 38105-4625
Phone: (901) 287-7337
Fax: (901) 387-5143
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 54122 | Tennessee |
Profile Details
NPI number | 1528113602 |
---|---|
LBN Legal business name | Gipson, Tanjala Trinette |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Apr 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528113602 | NPPES |
Tennessee | MEDICAID | PENDING |
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