Anderson, Travis

Anderson, Travis is an individual health care provider with primary practice located at 701 E Rosser Ave , Bismarck ND 58501-4461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Travis can be contacted via phone (701) 751-9500.

Contact Information

Primary practice address
701 E Rosser Ave Bismarck ND 58501-4461
Phone: (701) 751-9500
Fax: (701) 751-9508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RL15202 North Dakota

Profile Details

NPI number 1417442880
LBN Legal business name Anderson, Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2018
Last updated Jun 27th, 2018 - about 7 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 1417442880 NPPES
North Dakota MEDICAID 12083

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