Hendry, Travis M
Hendry, Travis M is an individual health care provider with primary practice located at 1551 Renaissance Towne Dr Ste 400 , Bountiful UT 84010-7676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hendry, Travis M can be contacted via phone (801) 295-7200.Contact Information
Primary practice address
1551 Renaissance Towne Dr Ste 400
Bountiful UT 84010-7676
Phone: (801) 295-7200
Fax: (801) 295-4930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101245156 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 353125-1205 | Utah |
Profile Details
| NPI number | 1124235312 |
|---|---|
| LBN Legal business name | Hendry, Travis M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Nov 16th, 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 | 1124235312 | NPPES |
| Utah | MEDICAID | 1124235312 | |
| Utah | Other | P00869950 |
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