Holt, Travis

Holt, Travis is an individual health care provider with primary practice located at 1300 Franklin Ave Ste 210 , Normal IL 61761-3588. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Holt, Travis can be contacted via phone (309) 268-3900.

Contact Information

Primary practice address
1300 Franklin Ave Ste 210 Normal IL 61761-3588
Phone: (309) 268-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125-046054 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036121834 Illinois

Profile Details

NPI number 1932320819
LBN Legal business name Holt, Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Dec 7th, 2023 - about last year

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 1932320819 NPPES
Missouri MEDICAID 1932320819

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