Lipps, Jack Morgan
Lipps, Jack Morgan is an individual health care provider with primary practice located at 6525 Hobson St. Ne , St Petersburg FL 33702-6922. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Lipps, Jack Morgan can be contacted via phone (727) 902-9400.Contact Information
Primary practice address
6525 Hobson St. Ne
St Petersburg FL 33702-6922
Phone: (727) 902-9400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME38761 | Florida |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME38761 | Florida |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME038761 | Florida |
Profile Details
NPI number | 1487621132 |
---|---|
LBN Legal business name | Lipps, Jack Morgan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | May 8th, 2024 - about 4 months 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 | 1487621132 | NPPES |
Florida | MEDICAID | 280479400 | |
Florida | Other | 62330 |
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