National Provider Identifier Database

STACEY A NIPP, DPM – NPI #1952363616
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

STACEY A NIPP, DPM
324 W SUPERIOR ST
STE 408
DULUTH, MN55802
Phone: 218-722-0615
Fax: 218-722-6712
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for STACEY A NIPP

NPI Number 1952363616
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/06/2006
Last updated 05/09/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 482
  • MN Medicaid: 014725700
  • Other: 5B969N0 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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