Gipson, Stephen Lavon

Gipson, Stephen Lavon is an individual health care provider with primary practice located at 6005 Park Ave Suite 400, Memphis TN 38119-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gipson, Stephen Lavon can be contacted via phone (901) 767-9500.

Contact Information

Primary practice address
6005 Park Ave Suite 400 Memphis TN 38119-5215
Phone: (901) 767-9500
Fax: (907) 767-7324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD14982 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 0000014982 Tennessee

Profile Details

NPI number 1205911518
LBN Legal business name Gipson, Stephen Lavon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 10th, 2017 - 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 1205911518 NPPES
Tennessee Other 125345900 US DEPT OF LABOR
Tennessee Other 4226549 US DEPT OF LABOR
Tennessee Other 40796 US DEPT OF LABOR

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