Calvin, Travis H

Calvin, Travis H is an sole proprietor health care provider with primary practice located at 1505 Ross Ave 1505 Ross Ave, El Centro CA 92243-3730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Calvin, Travis H can be contacted via phone (760) 353-1720.

Contact Information

Primary practice address
1505 Ross Ave 1505 Ross Ave El Centro CA 92243-3730
Phone: (760) 353-1720
Fax: (760) 353-0460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X C21462 California

Profile Details

NPI number 1437217049
LBN Legal business name Calvin, Travis H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Aug 28th, 2008 - about 17 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 1437217049 NPPES
California MEDICAID GR0040250

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