Tipton, David Glen
Tipton, David Glen is an sole proprietor health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Tipton, David Glen can be contacted via phone (910) 815-5830.Contact Information
Primary practice address
2131 S 17Th St
Wilmington NC 28401-7407
Phone: (910) 815-5830
Fax: (910) 815-5698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 200401588 | North Carolina |
Profile Details
| NPI number | 1497723886 |
|---|---|
| LBN Legal business name | Tipton, David Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Apr 28th, 2017 - about 9 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 | 1497723886 | NPPES |
| North Carolina | MEDICAID | 1497723886 | |
| North Carolina | Other | E0541 | |
| North Carolina | Other | 1380J | |
| North Carolina | MEDICAID | Q0158K | |
| North Carolina | MEDICAID | 5900002 |
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