Elliott, Travis
Elliott, Travis is an sole proprietor health care provider with primary practice located at 1 S Seneca Ave Ste A , Newcastle WY 82701-2807. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elliott, Travis can be contacted via phone (307) 746-9200.Contact Information
Primary practice address
1 S Seneca Ave Ste A
Newcastle WY 82701-2807
Phone: (307) 746-9200
Fax: (307) 746-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 607 | Wyoming |
Profile Details
| NPI number | 1063578128 |
|---|---|
| LBN Legal business name | Elliott, Travis |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Mar 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063578128 | NPPES |
| South Dakota | MEDICAID | 7601610 | |
| South Dakota | Other | P00068676 |
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