Jameson, Travis R
Jameson, Travis R is an individual health care provider with primary practice located at 301 W Hay St , Decatur IL 62526-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jameson, Travis R can be contacted via phone (217) 876-6860.Contact Information
Primary practice address
301 W Hay St
Decatur IL 62526-4162
Phone: (217) 876-6860
Fax: (217) 876-6868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036133033 | Illinois |
Profile Details
| NPI number | 1730490616 |
|---|---|
| LBN Legal business name | Jameson, Travis R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2010 |
| Last updated | Jan 30th, 2025 - about last year |
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 | 1730490616 | NPPES |
| Illinois | Other | 336094236 | CS LICENSE |
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