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Individual

DR. JAMES R. TIPTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2615 WILSON AVE, MADISON, IN 47250-3807
(812) 265-5369
(812) 273-5517
Mailing address
2615 WILSON AVE, MADISON, IN 47250-3807
(812) 265-5369
(812) 273-5517

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000590A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000085361
ANTHEM
IN
01
4350422
AETNA
IN
Enumeration date
04/18/2006
Last updated
07/08/2007
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