Beauchamp, Travis

Beauchamp, Travis is an individual health care provider with primary practice located at 1810 Webster St Suite 2, Hudson WI 54016-9305. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Beauchamp, Travis can be contacted via phone (715) 386-6100.

Contact Information

Primary practice address
1810 Webster St Suite 2 Hudson WI 54016-9305
Phone: (715) 386-6100
Fax: (715) 386-6298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4935 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 4313 Wisconsin

Profile Details

NPI number 1821119934
LBN Legal business name Beauchamp, Travis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 8th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821119934 NPPES
Minnesota Other 046N7BE BLUE CROSS AND BLUE SHIELD OF MINNESOTA
Minnesota MEDICAID 38976700 BLUE CROSS AND BLUE SHIELD OF MINNESOTA

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