Petree, Travis J
Petree, Travis J is an individual health care provider with primary practice located at 1416 6Th St Sw , Mason City IA 50401-4818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Petree, Travis J can be contacted via phone (641) 424-0102.Contact Information
Primary practice address
1416 6Th St Sw
Mason City IA 50401-4818
Phone: (641) 424-0102
Fax: (641) 424-8059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35893 | Iowa |
Profile Details
| NPI number | 1487604625 |
|---|---|
| LBN Legal business name | Petree, Travis J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 9th, 2021 - about 3 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 | 1487604625 | NPPES |
| Nebraska | MEDICAID | 47078557578 |
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