Tippie, Jason Michael

Tippie, Jason Michael is an individual health care provider with primary practice located at 3130 N County Rd 25A Suite 109, Troy OH 45373-1337. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tippie, Jason Michael can be contacted via phone (937) 440-9292.

Contact Information

Primary practice address
3130 N County Rd 25A Suite 109 Troy OH 45373-1337
Phone: (937) 440-9292
Fax: (937) 440-4227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001557 Ohio

Profile Details

NPI number 1720089212
LBN Legal business name Tippie, Jason Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 15th, 2015 - about 10 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 1720089212 NPPES
Ohio MEDICAID 0124214

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