Tippor, Shamant

Tippor, Shamant is an individual health care provider with primary practice located at 1235 E Cherokee St St John'S Clinic Hospitalist Department, Springfield MO 65804-2203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Tippor, Shamant can be contacted via phone (417) 820-2600.

Contact Information

Primary practice address
1235 E Cherokee St St John'S Clinic Hospitalist Department Springfield MO 65804-2203
Phone: (417) 820-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125050620 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2011006614 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2011006614 Missouri

Profile Details

NPI number 1679744809
LBN Legal business name Tippor, Shamant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2008
Last updated May 9th, 2017 - about 8 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 1679744809 NPPES
Missouri MEDICAID 1679744809

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