Smith, Ailisa Hipp

Smith, Ailisa Hipp is an individual health care provider with primary practice located at 915 Tate Blvd Se Suite 186, Hickory NC 28602-4042. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Legal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Smith, Ailisa Hipp can be contacted via phone (828) 324-0359.

Contact Information

Primary practice address
915 Tate Blvd Se Suite 186 Hickory NC 28602-4042
Phone: (828) 324-0359
Fax: (828) 324-0358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2008-00610 North Carolina
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X 2008-00610 North Carolina

Profile Details

NPI number 1356479828
LBN Legal business name Smith, Ailisa Hipp
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356479828 NPPES
North Carolina Other 2022135 MEDICARE
North Carolina MEDICAID 5909242 MEDICARE
North Carolina Other CN8132 MEDICARE

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