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
Fax: (618) 378-3450
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477659738 NPPES
Illinois Other 09726159 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 038008660 BLUE CROSS BLUE SHIELD

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