Provider Demographics
NPI:1295395457
Name:TIPPS, FINN
Entity Type:Individual
Prefix:
First Name:FINN
Middle Name:
Last Name:TIPPS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 AIRMAN CIR # 2517
Mailing Address - Street 2:
Mailing Address - City:OFFUTT AFB
Mailing Address - State:NE
Mailing Address - Zip Code:68113-4000
Mailing Address - Country:US
Mailing Address - Phone:360-420-0368
Mailing Address - Fax:
Practice Address - Street 1:105 AIRMAN CIR # 2517
Practice Address - Street 2:
Practice Address - City:OFFUTT AFB
Practice Address - State:NE
Practice Address - Zip Code:68113-4000
Practice Address - Country:US
Practice Address - Phone:360-420-0368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist