Lipscomb, Jeffrey Todd
Lipscomb, Jeffrey Todd is an individual health care provider with primary practice located at 455 Pinelias St Ste 400, Clearwater FL 33756-3356. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lipscomb, Jeffrey Todd can be contacted via phone (727) 445-1911.Contact Information
Primary practice address
455 Pinelias St Ste 400
Clearwater FL 33756-3356
Phone: (727) 445-1911
Fax: (727) 445-1986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2374 | Florida |
Profile Details
| NPI number | 1558350124 |
|---|---|
| LBN Legal business name | Lipscomb, Jeffrey Todd |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Oct 26th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558350124 | NPPES |
| Florida | MEDICAID | 291252000 |
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