Tanberg, Travis
Tanberg, Travis is an individual health care provider with primary practice located at 333 Smith Ave N , Saint Paul MN 55102-2344. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tanberg, Travis can be contacted via phone (651) 697-5804.Contact Information
Primary practice address
333 Smith Ave N
Saint Paul MN 55102-2344
Phone: (651) 697-5804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 109295 | Minnesota |
Profile Details
| NPI number | 1881059467 |
|---|---|
| LBN Legal business name | Tanberg, Travis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2015 |
| Last updated | Dec 23rd, 2015 - about 11 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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