Ortega, Travis G
Ortega, Travis G is an sole proprietor health care provider with primary practice located at 5402 Sw Lee Blvd. , Lawton OK 73505. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Ortega, Travis G can be contacted via phone (580) 531-0022.Contact Information
Primary practice address
5402 Sw Lee Blvd.
Lawton OK 73505
Phone: (580) 531-0022
Fax: (580) 531-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 230 | Oklahoma |
Profile Details
| NPI number | 1073515250 |
|---|---|
| LBN Legal business name | Ortega, Travis G |
| Credentials | AUD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Dec 15th, 2011 - about 13 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 | 1073515250 | NPPES |
| Oklahoma | MEDICAID | 100669730A |
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