Loidolt, Travis
Loidolt, Travis is an sole proprietor health care provider with primary practice located at 584 N Sunrise Ave Ste 100 , Roseville CA 95661-2862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Loidolt, Travis can be contacted via phone (916) 800-4685.Contact Information
Primary practice address
584 N Sunrise Ave Ste 100
Roseville CA 95661-2862
Phone: (916) 800-4685
Fax: (916) 512-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 20A16495 | California |
Profile Details
| NPI number | 1811254329 |
|---|---|
| LBN Legal business name | Loidolt, Travis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Feb 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811254329 | NPPES |
| California | Other | 20A16495 | CA MED LICENSE |
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