Travis, Joe Timothy

Travis, Joe Timothy is an individual health care provider with primary practice located at 1444 Peterman Dr , Alexandria LA 71301-3432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Travis, Joe Timothy can be contacted via phone (318) 442-5399.

Contact Information

Primary practice address
1444 Peterman Dr Alexandria LA 71301-3432
Fax: (318) 442-1586
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 019966 Louisiana

Profile Details

NPI number 1831121987
LBN Legal business name Travis, Joe Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 8th, 2023 - about 2 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 1831121987 NPPES
Louisiana Other 343661YMSL MEDICARE
Louisiana MEDICAID 1935824 MEDICARE

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