Provider Demographics
NPI:1861866816
Name:SIPPLE MEDICAL INNOVATIONS LLC
Entity Type:Organization
Organization Name:SIPPLE MEDICAL INNOVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SIPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:715-214-9883
Mailing Address - Street 1:10285 YELLOW CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9142
Mailing Address - Country:US
Mailing Address - Phone:612-470-3128
Mailing Address - Fax:
Practice Address - Street 1:10285 YELLOW CIRCLE DR
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-9142
Practice Address - Country:US
Practice Address - Phone:612-470-3128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty