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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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