Tipps, Wayne E

Tipps, Wayne E is an individual health care provider with primary practice located at 6015 Shallowford Road , Chattanooga TN 37421-1688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Tipps, Wayne E can be contacted via phone (423) 893-3333.

Contact Information

Primary practice address
6015 Shallowford Road Chattanooga TN 37421-1688
Fax: (423) 954-3054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2083 Tennessee

Profile Details

NPI number 1154324804
LBN Legal business name Tipps, Wayne E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2005
Last updated Jul 1st, 2016 - 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 1154324804 NPPES
Tennessee Other 4665595 AETNA PROVIDER NUMBER
Tennessee Other 2004791 AETNA PROVIDER NUMBER
Tennessee MEDICAID 3215429 AETNA PROVIDER NUMBER

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