Antholz, Travis James
Antholz, Travis James is an individual health care provider with primary practice located at 3445 O St , Lincoln NE 68510-1541. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Antholz, Travis James can be contacted via phone (402) 474-3445.Contact Information
Primary practice address
3445 O St
Lincoln NE 68510-1541
Phone: (402) 474-3445
Fax: (402) 474-6061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6477 | Nebraska |
Profile Details
| NPI number | 1124078845 |
|---|---|
| LBN Legal business name | Antholz, Travis James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124078845 | NPPES |
| Other | 04761 | BC BS | |
| Other | 1642002 | BC BS |
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