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
Fax: (901) 767-6591
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437499084 NPPES
Tennessee MEDICAID 1533087

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