Green, Travis

Green, Travis is an individual health care provider with primary practice located at 3701 Corriere Rd Ste 10 , Easton PA 18045-7991. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Green, Travis can be contacted via phone (484) 591-7205.

Contact Information

Primary practice address
3701 Corriere Rd Ste 10 Easton PA 18045-7991
Phone: (484) 591-7205
Fax: (484) 591-7206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP020896 Pennsylvania

Profile Details

NPI number 1700429925
LBN Legal business name Green, Travis
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Oct 21st, 2019 - about 7 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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