Burnham, Travis

Burnham, Travis is an individual health care provider with primary practice located at 959 Myrtle Ave , Eureka CA 95501-1219. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burnham, Travis can be contacted via phone (707) 442-7078.

Contact Information

Primary practice address
959 Myrtle Ave Eureka CA 95501-1219
Phone: (707) 442-7078
Fax: (707) 442-7298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 101887 California

Profile Details

NPI number 1477912806
LBN Legal business name Burnham, Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2016
Last updated Nov 14th, 2017 - about 9 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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