Blaich, Travis D
Blaich, Travis D is an sole proprietor health care provider with primary practice located at 2700 Kanell Blvd , Poplar Bluff MO 63901-3041. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blaich, Travis D can be contacted via phone (573) 785-0111.Contact Information
Primary practice address
2700 Kanell Blvd
Poplar Bluff MO 63901-3041
Phone: (573) 785-0111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2015017082 | Missouri |
Profile Details
| NPI number | 1962882589 |
|---|---|
| LBN Legal business name | Blaich, Travis D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2015 |
| Last updated | Jun 9th, 2015 - about 10 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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