Walthall, Travis

Walthall, Travis is an individual health care provider with primary practice located at 173 W 4Th St , Kuna ID 83634-2046. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Walthall, Travis can be contacted via phone (208) 922-4400.

Contact Information

Primary practice address
173 W 4Th St Kuna ID 83634-2046
Phone: (208) 922-4400
Fax: (208) 922-4499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5435 Idaho

Profile Details

NPI number 1144566894
LBN Legal business name Walthall, Travis
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2012
Last updated Dec 28th, 2012 - about 14 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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