Waker, Travis D.

Waker, Travis D. is an individual health care provider with primary practice located at 175 College St , Battle Creek MI 49037-3432. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty.

Contact Information

Primary practice address
175 College St Battle Creek MI 49037-3432
Phone:
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6362009541 Michigan

Profile Details

NPI number 1174253587
LBN Legal business name Waker, Travis D.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 3 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 1174253587 NPPES
Michigan Other 6362009541 LICENSE NUMBER

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