Polk, Travis Martin
Polk, Travis Martin is an individual health care provider with primary practice located at 620 John Paul Jones Cir Nmc Portsmouth, Department Of General Surgery, Portsmouth VA 23708-2111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Polk, Travis Martin can be contacted via phone (757) 953-2464.Contact Information
Primary practice address
620 John Paul Jones Cir Nmc Portsmouth, Department Of General Surgery
Portsmouth VA 23708-2111
Phone: (757) 953-2464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101233378 | Virginia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD438425 | Pennsylvania |
Profile Details
| NPI number | 1306808860 |
|---|---|
| LBN Legal business name | Polk, Travis Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 17th, 2015 - about 9 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 | 1306808860 | NPPES |
| Virginia | Other | 1306808860 | UNITED HEALTHCARE |
| Virginia | MEDICAID | 1306808860 | UNITED HEALTHCARE |
| Virginia | Other | PAR | UNITED HEALTHCARE |
| Virginia | Other | PAR | UNITED HEALTHCARE |
| Virginia | Other | 505895 | UNITED HEALTHCARE |
| Virginia | Other | 1306808860 | UNITED HEALTHCARE |
| Virginia | Other | PAR | UNITED HEALTHCARE |
| Virginia | Other | 1306808860 | UNITED HEALTHCARE |
| Virginia | MEDICAID | 1306808860 | UNITED HEALTHCARE |
| Virginia | Other | PAR | UNITED HEALTHCARE |
| Virginia | Other | PAR | UNITED HEALTHCARE |
| Virginia | Other | 10122737 | UNITED HEALTHCARE |
| Virginia | Other | PAR | UNITED HEALTHCARE |
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