Buchanan, Travis James

Buchanan, Travis James is an individual health care provider with primary practice located at 2488 E 81St St Ste 290 , Tulsa OK 74137-4265. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Buchanan, Travis James can be contacted via phone (918) 494-2665.

Contact Information

Primary practice address
2488 E 81St St Ste 290 Tulsa OK 74137-4265
Phone: (918) 494-2665
Fax: (918) 927-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1939 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1939 Oklahoma

Profile Details

NPI number 1710281894
LBN Legal business name Buchanan, Travis James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Sep 3rd, 2020 - about 5 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 1710281894 NPPES
Oklahoma Other 1939 OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
Oklahoma MEDICAID 200319100A OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION

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