Lipscomb, Michael Louis
Lipscomb, Michael Louis is an individual health care provider with primary practice located at 6025 Walnut Grove Rd Ste 508 , Memphis TN 38120-2125. 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, Michael Louis can be contacted via phone (901) 767-5864.Contact Information
Primary practice address
6025 Walnut Grove Rd Ste 508
Memphis TN 38120-2125
Phone: (901) 767-5864
Fax: (901) 767-6591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2689 | Tennessee |
Profile Details
| NPI number | 1437499084 |
|---|---|
| LBN Legal business name | Lipscomb, Michael Louis |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2013 |
| Last updated | Dec 30th, 2020 - about 6 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 | 1437499084 | NPPES |
| Tennessee | MEDICAID | 1533087 |
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