Heining, Travis John

Heining, Travis John is an individual health care provider with primary practice located at 751 S Bascom Ave Emergency Department, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Heining, Travis John can be contacted via phone (408) 885-6900.

Contact Information

Primary practice address
751 S Bascom Ave Emergency Department San Jose CA 95128-2604
Phone: (408) 885-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A86894 California

Profile Details

NPI number 1730143785
LBN Legal business name Heining, Travis John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730143785 NPPES
California Other 00A868940 BLUE SHIELD
California MEDICAID 00A868940 BLUE SHIELD
California Other P00266926 BLUE SHIELD

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