Moulton, Travis Reed
Moulton, Travis Reed is an individual health care provider with primary practice located at 1906 Fairview Ave Ste 230, Caldwell ID 83605-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moulton, Travis Reed can be contacted via phone (208) 459-4667.Contact Information
Primary practice address
1906 Fairview Ave Ste 230
Caldwell ID 83605-5407
Phone: (208) 459-4667
Fax: (208) 442-6520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-0765 | Idaho |
Profile Details
| NPI number | 1760744403 |
|---|---|
| LBN Legal business name | Moulton, Travis Reed |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Jan 26th, 2022 - about 4 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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