Tipton, David Brent
Tipton, David Brent is an sole proprietor health care provider with primary practice located at 4219 S Western Ave , Oklahoma City OK 73109-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tipton, David Brent can be contacted via phone (405) 644-5356.Contact Information
Primary practice address
4219 S Western Ave
Oklahoma City OK 73109-3410
Phone: (405) 644-5356
Fax: (405) 636-7946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 18762 | Oklahoma |
Profile Details
| NPI number | 1265490460 |
|---|---|
| LBN Legal business name | Tipton, David Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Nov 19th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265490460 | NPPES |
| Oklahoma | MEDICAID | 100112170A |
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