Paul, Grover Travis

Paul, Grover Travis is an individual health care provider with primary practice located at 2002 Hand Avenue , Bay Minette AL 36507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Paul, Grover Travis can be contacted via phone (251) 580-4243.

Contact Information

Primary practice address
2002 Hand Avenue Bay Minette AL 36507
Fax: (251) 580-4189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00021209 Alabama

Profile Details

NPI number 1538199161
LBN Legal business name Paul, Grover Travis
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 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 1538199161 NPPES
Alabama Other 1861426454 GROUP NPI
Alabama Other 051003894 GROUP NPI
Alabama MEDICAID 009938989 GROUP NPI
Alabama Other 51106179 GROUP NPI

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