Dippel, Lennis K.

Dippel, Lennis K. is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dippel, Lennis K. can be contacted via phone (210) 539-9582.

Contact Information

Primary practice address
3551 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 539-9582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H5762 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H5762 Texas

Profile Details

NPI number 1205815446
LBN Legal business name Dippel, Lennis K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2006
Last updated Aug 20th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205815446 NPPES
Texas MEDICAID 115437917
Texas MEDICAID 115437920
Texas Other 8AH278

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