Tripp, Adam Edward
Tripp, Adam Edward is an individual health care provider with primary practice located at 11910 Greenville Ave Ste 511 , Dallas TX 75243-9388. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Tripp, Adam Edward can be contacted via phone (214) 937-9180.Contact Information
Primary practice address
11910 Greenville Ave Ste 511
Dallas TX 75243-9388
Phone: (214) 937-9180
Fax: (214) 253-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | 1246-0521 | Texas |
Profile Details
| NPI number | 1730816067 |
|---|---|
| LBN Legal business name | Tripp, Adam Edward |
| Credentials | RSPS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2022 |
| Last updated | Aug 5th, 2022 - about 4 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 | 1730816067 | NPPES |
| Texas | Other | 1246-0521 | TEXAS CERTIFICATION BOARD |
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