Tipton, David Brent

Tipton, David Brent is an sole proprietor health care provider with primary practice located at 4219 S Western Ave , Oklahoma City OK 73109-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tipton, David Brent can be contacted via phone (405) 644-5356.

Contact Information

Primary practice address
4219 S Western Ave Oklahoma City OK 73109-3410
Phone: (405) 644-5356
Fax: (405) 636-7946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 18762 Oklahoma

Profile Details

NPI number 1265490460
LBN Legal business name Tipton, David Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Nov 19th, 2019 - about 7 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 1265490460 NPPES
Oklahoma MEDICAID 100112170A

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