Dessoffy, Travis L
Dessoffy, Travis L is an individual health care provider with primary practice located at 1025 Wh Smith Blvd Ste 108 , Greenville NC 27834-5278. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Dessoffy, Travis L can be contacted via phone (252) 215-2215.Contact Information
Primary practice address
1025 Wh Smith Blvd Ste 108
Greenville NC 27834-5278
Phone: (252) 215-2215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CPO02116 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CPO02116 | North Carolina |
Profile Details
| NPI number | 1376663534 |
|---|---|
| LBN Legal business name | Dessoffy, Travis L |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jun 18th, 2019 - about 5 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 | 1376663534 | NPPES |
| North Carolina | MEDICAID | 1376663534 |
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