Tipton, Jonathan Jay

Tipton, Jonathan Jay is an sole proprietor health care provider with primary practice located at 8400 E Florentine Rd , Prescott Valley AZ 86314-8653. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tipton, Jonathan Jay can be contacted via phone (928) 775-9999.

Contact Information

Primary practice address
8400 E Florentine Rd Prescott Valley AZ 86314-8653
Phone: (928) 775-9999
Fax: (928) 775-9998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5049 Arizona

Profile Details

NPI number 1104848225
LBN Legal business name Tipton, Jonathan Jay
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Aug 8th, 2017 - about 7 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 1104848225 NPPES
Arizona MEDICAID 766305

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