Travis, Angel

Travis, Angel is an sole proprietor health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Travis, Angel can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601-4046
Phone: (864) 241-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 108321 South Carolina

Profile Details

NPI number 1588393029
LBN Legal business name Travis, Angel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2022
Last updated Jun 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588393029 NPPES
South Carolina MEDICAID 301100

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