Hendricks, Travis Lamont
Hendricks, Travis Lamont is an individual health care provider with primary practice located at 9 Hospital Dr Ste B4 , Toms River NJ 08755-6425. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Hendricks, Travis Lamont can be contacted via phone (732) 905-6635.Contact Information
Primary practice address
9 Hospital Dr Ste B4
Toms River NJ 08755-6425
Phone: (732) 905-6635
Fax: (732) 905-6643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | OT014442 | Pennsylvania |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 25MB10117100 | New Jersey |
Profile Details
NPI number | 1487911012 |
---|---|
LBN Legal business name | Hendricks, Travis Lamont |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2012 |
Last updated | Sep 17th, 2020 - 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.
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