Tippin, Jon M

Tippin, Jon M is an individual health care provider with primary practice located at 768 Taylor Rd , Kalama WA 98625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tippin, Jon M can be contacted via phone (615) 345-5400.

Contact Information

Primary practice address
768 Taylor Rd Kalama WA 98625
Phone: (615) 345-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD2019-0927 New Mexico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 23642 Iowa
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 00022815 Washington

Profile Details

NPI number 1073595880
LBN Legal business name Tippin, Jon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 21st, 2020 - 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 1073595880 NPPES
Iowa Other 37261 WELLMARK BCBS
Iowa MEDICAID 0196147 WELLMARK BCBS
Iowa Other MD2019-0927 WELLMARK BCBS

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