Travis, Carol E

Travis, Carol E is an individual health care provider with primary practice located at 18200 Lorain Ave , Cleveland OH 44111-5605. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Travis, Carol E can be contacted via phone (216) 476-7606.

Contact Information

Primary practice address
18200 Lorain Ave Cleveland OH 44111-5605
Phone: (216) 476-7606
Fax: (216) 476-6967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN079550 Ohio

Profile Details

NPI number 1144277781
LBN Legal business name Travis, Carol E
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 6th, 2008 - about 17 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 1144277781 NPPES
Ohio Other 353419 WELLCARE
Ohio Other 000000311622 WELLCARE
Ohio Other 500030376 WELLCARE
Ohio MEDICAID 2373499 WELLCARE

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