Vanderlist, Travis John

Vanderlist, Travis John is an individual health care provider with primary practice located at 1500 Weiss St , Saginaw MI 48602-5251. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vanderlist, Travis John can be contacted via phone (989) 497-2500.

Contact Information

Primary practice address
1500 Weiss St Saginaw MI 48602-5251
Fax: (989) 321-4922
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801090423 Michigan

Profile Details

NPI number 1003155219
LBN Legal business name Vanderlist, Travis John
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2013
Last updated Feb 7th, 2013 - about 13 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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