Martin, Travis W

Martin, Travis W is an individual health care provider with primary practice located at 1906 Blake Ave , Glenwood Springs CO 81601-4227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Martin, Travis W can be contacted via phone (970) 945-6535.

Contact Information

Primary practice address
1906 Blake Ave Glenwood Springs CO 81601-4227
Phone: (970) 945-6535
Fax: (970) 945-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 19575 Colorado

Profile Details

NPI number 1255410981
LBN Legal business name Martin, Travis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jan 3rd, 2014 - about 10 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 1255410981 NPPES
Colorado Other VAH2004 BCBS PROVIDER
Colorado MEDICAID 01195759 BCBS PROVIDER
Colorado Other CO19575 BCBS PROVIDER

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