Clegg, Travis Edward

Clegg, Travis Edward is an individual health care provider with primary practice located at 4101 Technology Ave , New Albany IN 47150-8548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clegg, Travis Edward can be contacted via phone (812) 941-4500.

Contact Information

Primary practice address
4101 Technology Ave New Albany IN 47150-8548
Phone: (812) 941-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 44976 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01067694A Indiana

Profile Details

NPI number 1740494418
LBN Legal business name Clegg, Travis Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 5th, 2022 - about 3 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 1740494418 NPPES
Indiana Other 768066 ANTHEM
Indiana MEDICAID 201047300 ANTHEM
Indiana Other 50045559 ANTHEM
Indiana Other 9087848 ANTHEM
Indiana MEDICAID 7100132700 ANTHEM

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