Newman, Travis Donovan

Newman, Travis Donovan is an individual health care provider with primary practice located at 4870 E Jackson St , Muncie IN 47303-4432. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Newman, Travis Donovan can be contacted via phone (765) 287-8596.

Contact Information

Primary practice address
4870 E Jackson St Muncie IN 47303-4432
Phone: (765) 287-8596
Fax: (765) 288-6514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005126A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005126A Indiana

Profile Details

NPI number 1679975676
LBN Legal business name Newman, Travis Donovan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Dec 18th, 2024 - about 2 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 1679975676 NPPES
Indiana Other 000001612604 ANTHEM PTAN
Indiana MEDICAID 201261210 ANTHEM PTAN

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