Thompson, Travis

Thompson, Travis is an individual health care provider with primary practice located at 3324 French Park Dr Suite D, Edmond OK 73034-7269. 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. Thompson, Travis can be contacted via phone (405) 715-3610.

Contact Information

Primary practice address
3324 French Park Dr Suite D Edmond OK 73034-7269
Phone: (405) 715-3610
Fax: (405) 715-3612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 80478 Oklahoma

Profile Details

NPI number 1669791596
LBN Legal business name Thompson, Travis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2010
Last updated Mar 14th, 2011 - about 14 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 1669791596 NPPES
Oklahoma MEDICAID 200292810A

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