Tipton, Gary
Tipton, Gary is an individual health care provider with primary practice located at 7347 Bell Creek Rd Suite 100, Mechanicsville VA 23111-3504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tipton, Gary can be contacted via phone (804) 559-9430.Contact Information
Primary practice address
7347 Bell Creek Rd Suite 100
Mechanicsville VA 23111-3504
Phone: (804) 559-9430
Fax: (804) 559-2037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101-031425 | Virginia |
Profile Details
| NPI number | 1770698250 |
|---|---|
| LBN Legal business name | Tipton, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1770698250 | NPPES |
| Other | 329785 | SOUTHERN HEALTH | |
| MEDICAID | 6730043 | SOUTHERN HEALTH | |
| Other | 179100 | SOUTHERN HEALTH | |
| MEDICAID | 6703739 | SOUTHERN HEALTH | |
| Other | 7925863 | SOUTHERN HEALTH |
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