Tippel, Judy Ann

Tippel, Judy Ann is an individual health care provider with primary practice located at 1717 Taylor Ave , Racine WI 53403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tippel, Judy Ann can be contacted via phone (262) 638-6744.

Contact Information

Primary practice address
1717 Taylor Ave Racine WI 53403
Phone: (262) 638-6744
Fax: (262) 638-6540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15143-132 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8227-123 Wisconsin

Profile Details

NPI number 1528272267
LBN Legal business name Tippel, Judy Ann
Credentials MSW, LCSW, CSAC, ICS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Dec 5th, 2019 - about 5 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 1528272267 NPPES
Wisconsin MEDICAID 39176100

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