1831158856 NPI number — DR. JORDAN DOUGLAS LIPTON M.D.

Table of content: DR. JORDAN DOUGLAS LIPTON M.D. (NPI 1831158856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831158856 NPI number — DR. JORDAN DOUGLAS LIPTON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIPTON
Provider First Name:
JORDAN
Provider Middle Name:
DOUGLAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831158856
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6115 PARK SOUTH DR
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28210-3269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-554-8787
Provider Business Mailing Address Fax Number:
704-554-8774

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6115 PARK SOUTH DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28210-3269
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-554-8787
Provider Business Practice Location Address Fax Number:
704-554-8774
Provider Enumeration Date:
03/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  36561 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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