Tripp, Alan Matthew

Tripp, Alan Matthew is an individual health care provider with primary practice located at 1413 N Elm St Suite 204, Henderson KY 42420-2768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tripp, Alan Matthew can be contacted via phone (270) 830-9973.

Contact Information

Primary practice address
1413 N Elm St Suite 204 Henderson KY 42420-2768
Phone: (270) 830-9973
Fax: (270) 830-9975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04032 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 02004102A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 1876 Tennessee

Profile Details

NPI number 1396829925
LBN Legal business name Tripp, Alan Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 19th, 2016 - about 9 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 1396829925 NPPES
Indiana MEDICAID 201119270
Indiana Other 00000793150

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