Perez Travis, Ellen
Perez Travis, Ellen is an individual health care provider with primary practice located at 751 S Bascom Ave , San Jose CA 95128-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perez Travis, Ellen can be contacted via phone (408) 885-6780.Contact Information
Primary practice address
751 S Bascom Ave
San Jose CA 95128-2604
Phone: (408) 885-6780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 418417-9309 | California |
Profile Details
| NPI number | 1396743217 |
|---|---|
| LBN Legal business name | Perez Travis, Ellen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 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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