Tipton, John W

Tipton, John W is an individual health care provider with primary practice located at 1111 S Saint Louis Ave , Tulsa OK 74120-5440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tipton, John W can be contacted via phone (918) 619-4600.

Contact Information

Primary practice address
1111 S Saint Louis Ave Tulsa OK 74120-5440
Fax: (918) 619-4601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10115 Oklahoma

Profile Details

NPI number 1316937220
LBN Legal business name Tipton, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 21st, 2013 - about 13 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 1316937220 NPPES
Oklahoma MEDICAID 100110230E

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