Tipple, Shawn

Tipple, Shawn is an individual health care provider with primary practice located at 968 1St Infantry Division Rd , Fort Knox KY 40121-5210. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Tipple, Shawn can be contacted via phone (502) 626-9303.

Contact Information

Primary practice address
968 1St Infantry Division Rd Fort Knox KY 40121-5210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1002857 Wisconsin
Dental Providers / General Practice 1223G0001X 1002857 Wisconsin

Profile Details

NPI number 1780257451
LBN Legal business name Tipple, Shawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2021
Last updated Mar 8th, 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.

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