Bird, Travis H

Bird, Travis H is an sole proprietor health care provider with primary practice located at 5670 Wynn Rd Ste D , Las Vegas NV 89118-2355. He recently has only one registered license in Suppliers / Blood Bank, which is considered as his primary health care specialty. Bird, Travis H can be contacted via phone (702) 776-4114.

Contact Information

Primary practice address
5670 Wynn Rd Ste D Las Vegas NV 89118-2355
Fax: (701) 909-3757
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Blood Bank 331L00000X

Profile Details

NPI number 1942725965
LBN Legal business name Bird, Travis H
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2017
Last updated Jul 21st, 2022 - about 2 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 1942725965 NPPES
Ohio Other 82-1780632 IRS

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