Dekruyter, Travis John

Dekruyter, Travis John is an individual health care provider with primary practice located at 22818 Lodge Ln , Dearborn MI 48128-1811. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Dekruyter, Travis John can be contacted via phone (313) 600-8124.

Contact Information

Primary practice address
22818 Lodge Ln Dearborn MI 48128-1811
Phone: (313) 600-8124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1144677436
LBN Legal business name Dekruyter, Travis John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated May 17th, 2016 - about 9 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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