Petrick, Travis

Petrick, Travis is an individual health care provider with primary practice located at 15353 Weddington St Apt C107 , Sherman Oaks CA 91411-3844. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Petrick, Travis can be contacted via phone (310) 469-1374.

Contact Information

Primary practice address
15353 Weddington St Apt C107 Sherman Oaks CA 91411-3844
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95012917 California

Profile Details

NPI number 1255982492
LBN Legal business name Petrick, Travis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated Sep 27th, 2019 - about 5 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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