Ely, Travis James

Ely, Travis James is an sole proprietor health care provider with primary practice located at 354 Copperfield Blvd Ne , Concord NC 28025-2402. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ely, Travis James can be contacted via phone (704) 786-5122.

Contact Information

Primary practice address
354 Copperfield Blvd Ne Concord NC 28025-2402
Phone: (704) 786-5122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 23342 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-13216 North Carolina

Profile Details

NPI number 1831657378
LBN Legal business name Ely, Travis James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2019
Last updated Jul 3rd, 2023 - 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.

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