Travis, Richard Thomas

Travis, Richard Thomas is an sole proprietor health care provider with primary practice located at 3113 Catrina Ln , Annapolis MD 21403-4340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Travis, Richard Thomas can be contacted via phone (410) 280-2057.

Contact Information

Primary practice address
3113 Catrina Ln Annapolis MD 21403-4340
Phone: (410) 280-2057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D0046550 Maryland

Profile Details

NPI number 1952812208
LBN Legal business name Travis, Richard Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2017
Last updated Oct 13th, 2017 - about 9 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 1952812208 NPPES
Maryland Other D0046550 MEDICAL LICENSE NUMBER

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