Hipp, Charles John

Hipp, Charles John is an individual health care provider with primary practice located at 1500 Curve Crest Blvd W , Stillwater MN 55082-6040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Hipp, Charles John can be contacted via phone (651) 439-1234.

Contact Information

Primary practice address
1500 Curve Crest Blvd W Stillwater MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 439-1547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 24683 Minnesota
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 21721 Wisconsin

Profile Details

NPI number 1871578492
LBN Legal business name Hipp, Charles John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Feb 14th, 2011 - 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 1871578492 NPPES
Wisconsin MEDICAID 32418300
Wisconsin MEDICAID 925065400

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