Buchanan, Travis J

Buchanan, Travis J is an individual health care provider with primary practice located at 5295 Preserve Pkwy Ste 260 , Hoover AL 35244-4703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Buchanan, Travis J can be contacted via phone (205) 380-9761.

Contact Information

Primary practice address
5295 Preserve Pkwy Ste 260 Hoover AL 35244-4703
Phone: (205) 380-9761
Fax: (205) 380-1957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2102 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1080 Alabama

Profile Details

NPI number 1245609106
LBN Legal business name Buchanan, Travis J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Sep 17th, 2019 - about 6 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 1245609106 NPPES
Kentucky MEDICAID 7100422800

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