Gholson, Travis Rhine
Gholson, Travis Rhine is an individual health care provider with primary practice located at 120 S Division , Norris City IL 62869. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gholson, Travis Rhine can be contacted via phone (618) 378-3330.Contact Information
Primary practice address
120 S Division
Norris City IL 62869
Phone: (618) 378-3330
Fax: (618) 378-3450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038008660 | Illinois |
Profile Details
| NPI number | 1477659738 |
|---|---|
| LBN Legal business name | Gholson, Travis Rhine |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Aug 23rd, 2018 - about 8 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 | 1477659738 | NPPES |
| Illinois | Other | 09726159 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 038008660 | BLUE CROSS BLUE SHIELD |
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