Torngren, Travis Roy
Torngren, Travis Roy is an individual health care provider with primary practice located at 360 E Main St , Rexburg ID 83440-2015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Torngren, Travis Roy can be contacted via phone (208) 356-9550.Contact Information
Primary practice address
360 E Main St
Rexburg ID 83440-2015
Phone: (208) 356-9550
Fax: (208) 356-8023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M-11045 | Idaho |
Profile Details
| NPI number | 1508086844 |
|---|---|
| LBN Legal business name | Torngren, Travis Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Jan 24th, 2017 - about 9 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 | 1508086844 | NPPES |
| Idaho | MEDICAID | 1184799298 |
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