Fripp, Vikisha Tyese

Fripp, Vikisha Tyese is an individual health care provider with primary practice located at 1150 Varnum St Ne , Washington DC 20017-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Fripp, Vikisha Tyese can be contacted via phone (202) 448-4080.

Contact Information

Primary practice address
1150 Varnum St Ne Washington DC 20017-2104
Phone: (202) 448-4080
Fax: (202) 448-4082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 057460 Georgia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 057460 Georgia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD039256 District of Columbia

Profile Details

NPI number 1366484990
LBN Legal business name Fripp, Vikisha Tyese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated May 30th, 2014 - about 12 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 1366484990 NPPES
Georgia Other 057460 GA MEDICAL LICENSE
Georgia MEDICAID MD039256 GA MEDICAL LICENSE

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