Dekker, Travis John

Dekker, Travis John is an individual health care provider with primary practice located at 175 S Union Blvd Ste 310 , Colorado Springs CO 80910-3126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Dekker, Travis John can be contacted via phone (719) 365-1950.

Contact Information

Primary practice address
175 S Union Blvd Ste 310 Colorado Springs CO 80910-3126
Phone: (719) 365-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DR.0059812 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME141951 Florida

Profile Details

NPI number 1609119338
LBN Legal business name Dekker, Travis John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Apr 1st, 2024 - about 5 months 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 1609119338 NPPES
Colorado MEDICAID 9000212357

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