Travis, Derek James

Travis, Derek James is an individual health care provider with primary practice located at 1621 Blake St Apt 6, Berkeley CA 94703-1865. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Travis, Derek James can be contacted via phone (925) 899-7964.

Contact Information

Primary practice address
1621 Blake St Apt 6 Berkeley CA 94703-1865
Phone: (925) 899-7964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1487038048
LBN Legal business name Travis, Derek James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated Jan 3rd, 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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