Slaba, Travis J

Slaba, Travis J is an individual health care provider with primary practice located at 220 S Cliff Ave Ste 120 , Harrisburg SD 57032-2117. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Slaba, Travis J can be contacted via phone (605) 213-8000.

Contact Information

Primary practice address
220 S Cliff Ave Ste 120 Harrisburg SD 57032-2117
Phone: (605) 213-8000
Fax: (605) 213-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0541 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0541 South Dakota

Profile Details

NPI number 1295732709
LBN Legal business name Slaba, Travis J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 19th, 2022 - about 3 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 1295732709 NPPES
South Dakota MEDICAID 6824970

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