Tipton, Jeremy R

Tipton, Jeremy R is an individual health care provider with primary practice located at 1225 Warm Springs Ave , Huntingdon PA 16652-2350. 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. Tipton, Jeremy R can be contacted via phone (814) 643-8367.

Contact Information

Primary practice address
1225 Warm Springs Ave Huntingdon PA 16652-2350
Phone: (814) 643-8367
Fax: (814) 643-8369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Pennsylvania

Profile Details

NPI number 1063640324
LBN Legal business name Tipton, Jeremy R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Oct 23rd, 2019 - 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 1063640324 NPPES
Pennsylvania MEDICAID 1029412830001

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