Petersen, Travis Anthony
Petersen, Travis Anthony is an sole proprietor health care provider with primary practice located at 3305 W Mayflower Way Ste 4 , Lehi UT 84043-2961. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Petersen, Travis Anthony can be contacted via phone (833) 208-9009.Contact Information
Primary practice address
3305 W Mayflower Way Ste 4
Lehi UT 84043-2961
Phone: (833) 208-9009
Fax: (866) 680-1322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X |
Profile Details
| NPI number | 1962257949 |
|---|---|
| LBN Legal business name | Petersen, Travis Anthony |
| Credentials | BA, MFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2024 |
| Last updated | Apr 22nd, 2024 - 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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