Tipton, Shane Andrew

Tipton, Shane Andrew is an individual health care provider with primary practice located at 1000 Greenley Rd , Sonora CA 95370-5200. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Tipton, Shane Andrew can be contacted via phone (209) 536-5000.

Contact Information

Primary practice address
1000 Greenley Rd Sonora CA 95370-5200
Phone: (209) 536-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X PA17521 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X PA17521 California

Profile Details

NPI number 1962482877
LBN Legal business name Tipton, Shane Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 6th, 2024 - about last year

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 1962482877 NPPES
California MEDICAID OPA175210

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