North, Travis James

North, Travis James is an individual health care provider with primary practice located at 1055 N 500 W Bldg A , Provo UT 84604-3305. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. North, Travis James can be contacted via phone (801) 812-5033.

Contact Information

Primary practice address
1055 N 500 W Bldg A Provo UT 84604-3305
Phone: (801) 812-5033
Fax: (801) 812-5034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8261139-1206 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 1821393539 Utah

Profile Details

NPI number 1821393539
LBN Legal business name North, Travis James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Sep 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821393539 NPPES
Utah MEDICAID 1821393539

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