Tippin, Douglas B
Tippin, Douglas B is an individual health care provider with primary practice located at 2222 N Nevada Ave Ste Cc101 , Colorado Springs CO 80907-6819. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Tippin, Douglas B can be contacted via phone (719) 776-5281.Contact Information
Primary practice address
2222 N Nevada Ave Ste Cc101
Colorado Springs CO 80907-6819
Phone: (719) 776-5281
Fax: (719) 776-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 40881 | Colorado |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | C154753 | California |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | CDRH.0040881 | Colorado |
Profile Details
| NPI number | 1013900281 |
|---|---|
| LBN Legal business name | Tippin, Douglas B |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Oct 11th, 2023 - about last year |
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 | 1013900281 | NPPES |
| Colorado | MEDICAID | 04004909 |
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