Bruce, Travis O
Bruce, Travis O is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bruce, Travis O can be contacted via phone (719) 503-7917.Contact Information
Primary practice address
1650 Cochrane Cir
Fort Carson CO 80913-4613
Phone: (719) 503-7917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 23877 | South Carolina |
Profile Details
| NPI number | 1831150440 |
|---|---|
| LBN Legal business name | Bruce, Travis O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 21st, 2013 - about 11 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 | 1831150440 | NPPES |
| South Carolina | MEDICAID | 238772 |
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