Tipton, Ancel C

Tipton, Ancel C is an sole proprietor health care provider with primary practice located at 971 Lakeland Dr Ste 1060, Jackson MS 39216-4609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tipton, Ancel C can be contacted via phone (601) 362-1577.

Contact Information

Primary practice address
971 Lakeland Dr Ste 1060 Jackson MS 39216-4609
Fax: (601) 368-9394
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 05163 Mississippi

Profile Details

NPI number 1548366768
LBN Legal business name Tipton, Ancel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Feb 1st, 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 1548366768 NPPES
Mississippi MEDICAID 12670

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