Travis, Brett Robert
Travis, Brett Robert is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr Radiology Department, Hammond LA 70403-1434. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Travis, Brett Robert can be contacted via phone (985) 230-6700.Contact Information
Primary practice address
15790 Paul Vega Md Dr Radiology Department
Hammond LA 70403-1434
Phone: (985) 230-6700
Fax: (985) 230-1528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD.201617 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Louisiana | |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD.201617 | Louisiana |
Profile Details
| NPI number | 1700082682 |
|---|---|
| LBN Legal business name | Travis, Brett Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Sep 19th, 2018 - about 7 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 | 1700082682 | NPPES |
| Mississippi | MEDICAID | 09202849 | |
| Mississippi | MEDICAID | 1508195 |
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