Anderson, Travis John

Anderson, Travis John is an individual health care provider with primary practice located at 2365 Mcknight Rd N , North Saint Paul MN 55109-2238. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Anderson, Travis John can be contacted via phone (651) 760-3236.

Contact Information

Primary practice address
2365 Mcknight Rd N North Saint Paul MN 55109-2238
Fax: (651) 222-6025
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1649943978
LBN Legal business name Anderson, Travis John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated Aug 2nd, 2021 - 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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