Tripp, Stephen A

Tripp, Stephen A is an individual health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tripp, Stephen A can be contacted via phone (816) 781-7200.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Fax: (816) 792-7196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9407934 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2016011532 Missouri

Profile Details

NPI number 1457613622
LBN Legal business name Tripp, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Dec 10th, 2020 - about 4 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 1457613622 NPPES
Missouri MEDICAID 1457613622
Missouri Other 54372011
Missouri Other P01715731
Missouri Other 54372021

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