Hecker, Travis M
Hecker, Travis M is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hecker, Travis M can be contacted via phone (262) 434-5000.Contact Information
Primary practice address
36500 Aurora Dr
Summit WI 53066-4899
Phone: (262) 434-5000
Fax: (262) 434-5350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2015-01387 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2015-01387 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2537 | Wisconsin |
Profile Details
| NPI number | 1699979518 |
|---|---|
| LBN Legal business name | Hecker, Travis M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Jan 15th, 2020 - about 4 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 | 1699979518 | NPPES |
| North Carolina | Other | NCP693D | MEDICARE PTAN |
| North Carolina | MEDICAID | 1699979518 | MEDICARE PTAN |
| North Carolina | Other | NCP693B | MEDICARE PTAN |
| North Carolina | Other | NCP693C | MEDICARE PTAN |
| North Carolina | Other | NCP693E | MEDICARE PTAN |
| North Carolina | Other | K400380202 | MEDICARE PTAN |
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