Burt, Travis David

Burt, Travis David is an sole proprietor health care provider with primary practice located at 1838 Porter St , Enumclaw WA 98022. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burt, Travis David can be contacted via phone (206) 979-3160.

Contact Information

Primary practice address
1838 Porter St Enumclaw WA 98022
Phone: (206) 979-3160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA60259571 Washington

Profile Details

NPI number 1003186693
LBN Legal business name Burt, Travis David
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 14 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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