Ewing, Travis D
Ewing, Travis D is an individual health care provider with primary practice located at 1111 Windover Rd , Jonesboro AR 72401-6159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ewing, Travis D can be contacted via phone (870) 936-8000.Contact Information
Primary practice address
1111 Windover Rd
Jonesboro AR 72401-6159
Phone: (870) 936-8000
Fax: (870) 934-3653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-8862 | Arkansas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | E8862 | Arkansas |
Profile Details
| NPI number | 1376980367 |
|---|---|
| LBN Legal business name | Ewing, Travis D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2013 |
| Last updated | Aug 10th, 2020 - about 6 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 | 1376980367 | NPPES |
| Arkansas | MEDICAID | 221541003 |
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