Polk, Travis

Polk, Travis is an sole proprietor health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. 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. Polk, Travis can be contacted via phone (970) 810-6953.

Contact Information

Primary practice address
1801 16Th St Greeley CO 80631-5154
Phone: (970) 810-6953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN.0993351-NP Colorado

Profile Details

NPI number 1306355409
LBN Legal business name Polk, Travis
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2017
Last updated Nov 23rd, 2018 - about 6 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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