Liddell, Travis Richard

Liddell, Travis Richard is an individual health care provider with primary practice located at 2908 E. 26Th St. , Sioux Falls SD 57103-4034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Liddell, Travis Richard can be contacted via phone (605) 336-2638.

Contact Information

Primary practice address
2908 E. 26Th St. Sioux Falls SD 57103-4034
Phone: (605) 336-2638
Fax: (605) 334-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 13909 Hawaii
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8782 South Dakota

Profile Details

NPI number 1144232042
LBN Legal business name Liddell, Travis Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 6th, 2018 - about 7 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 1144232042 NPPES
South Dakota MEDICAID 6402660

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