Harris, Travis M.

Harris, Travis M. is an sole proprietor health care provider with primary practice located at 300 Hospital Dr , Vallejo CA 94589-2574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Harris, Travis M. can be contacted via phone (707) 554-4444.

Contact Information

Primary practice address
300 Hospital Dr Vallejo CA 94589-2574
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME91177 Florida

Profile Details

NPI number 1326081696
LBN Legal business name Harris, Travis M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Aug 28th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326081696 NPPES
Florida MEDICAID 270727600

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