Anschutz, Travis Wayne

Anschutz, Travis Wayne is an individual health care provider with primary practice located at 3000 Medical Center Pkwy , Bentonville AR 72712-3217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Anschutz, Travis Wayne can be contacted via phone (479) 553-1294.

Contact Information

Primary practice address
3000 Medical Center Pkwy Bentonville AR 72712-3217
Phone: (479) 553-1294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 39175 Kentucky
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X M10102 Idaho
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X E-11227 Arkansas

Profile Details

NPI number 1497893366
LBN Legal business name Anschutz, Travis Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Sep 8th, 2020 - about 5 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 1497893366 NPPES
Idaho MEDICAID 808012100

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