Individual
BENJAMIN LIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005391
KY
225100000X
Physical Therapist
Primary
05005650A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280217
BLUE CROSS BLUE SHIELD
IN
05
—
200818630
—
IN
01
—
P00060081
MEDICARE RAILROAD
IN
Enumeration date
12/05/2005
Last updated
03/16/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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