Adams, Travis Blake

Adams, Travis Blake is an individual health care provider with primary practice located at 3257 Yarmouth Ln , Gastonia NC 28056-7875. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Adams, Travis Blake can be contacted via phone (704) 813-3643.

Contact Information

Primary practice address
3257 Yarmouth Ln Gastonia NC 28056-7875
Phone: (704) 813-3643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 287014 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5020249 North Carolina

Profile Details

NPI number 1154189538
LBN Legal business name Adams, Travis Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2024
Last updated Jul 19th, 2024 - about 5 months 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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