White, Travis W

White, Travis W is an individual health care provider with primary practice located at 8110 Midlothian Tpke , North Chesterfield VA 23235-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Travis W can be contacted via phone (804) 320-8160.

Contact Information

Primary practice address
8110 Midlothian Tpke North Chesterfield VA 23235-5116
Phone: (804) 320-8160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101052682 Virginia

Profile Details

NPI number 1003039892
LBN Legal business name White, Travis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 24th, 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 1003039892 NPPES
Arizona MEDICAID 1871523191
Arizona MEDICAID 1295993376
Arizona MEDICAID 1629236716

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