Ansley, Travis Shelton
Ansley, Travis Shelton is an individual health care provider with primary practice located at 118 Professional Park Dr , Rock Hill SC 29732-1178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ansley, Travis Shelton can be contacted via phone (803) 329-3124.Contact Information
Primary practice address
118 Professional Park Dr
Rock Hill SC 29732-1178
Phone: (803) 329-3124
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | TMP 001009 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2009-01131 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1099 | South Carolina |
Profile Details
| NPI number | 1942424122 |
|---|---|
| LBN Legal business name | Ansley, Travis Shelton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 17th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942424122 | NPPES |
| North Carolina | MEDICAID | 1942424122 | |
| North Carolina | Other | P00680393 | |
| North Carolina | Other | P00680393 | |
| North Carolina | MEDICAID | 010990 |
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