Phipps, Judah L
Phipps, Judah L is an individual health care provider with primary practice located at 407 E Market St Ste 102 , Crawfordsville IN 47933-1852. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Phipps, Judah L can be contacted via phone (765) 362-1500.Contact Information
Primary practice address
407 E Market St Ste 102
Crawfordsville IN 47933-1852
Phone: (765) 362-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 06005552A | Indiana |
Profile Details
| NPI number | 1316569726 |
|---|---|
| LBN Legal business name | Phipps, Judah L |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2020 |
| Last updated | May 8th, 2020 - about 4 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 | 1316569726 | NPPES |
| Indiana | Other | 06005552A | STATE LICENSE |
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