Tripp, Patrick M

Tripp, Patrick M is an individual health care provider with primary practice located at 3400 Civic Center Pcam - Radiation Oncology Trc 2 West, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Tripp, Patrick M can be contacted via phone (215) 662-2428.

Contact Information

Primary practice address
3400 Civic Center Pcam - Radiation Oncology Trc 2 West Philadelphia PA 19104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 48025 Wisconsin
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD446653 Pennsylvania

Profile Details

NPI number 1467403121
LBN Legal business name Tripp, Patrick M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 10th, 2015 - about 11 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 1467403121 NPPES
Wisconsin MEDICAID 34638200
Wisconsin Other 039906262H

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