Schildt, Travis
Schildt, Travis is an individual health care provider with primary practice located at 651 Foxcroft Ave Suite 110, Martinsburg WV 25401-5306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schildt, Travis can be contacted via phone (304) 264-3660.Contact Information
Primary practice address
651 Foxcroft Ave Suite 110
Martinsburg WV 25401-5306
Phone: (304) 264-3660
Fax: (304) 264-3665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23075 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0075589 | Maryland |
Profile Details
| NPI number | 1033316781 |
|---|---|
| LBN Legal business name | Schildt, Travis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Mar 4th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033316781 | NPPES |
| West Virginia | MEDICAID | 0035061000 | |
| West Virginia | MEDICAID | 1723320 | |
| West Virginia | MEDICAID | 482501200 |
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