Poulson, Travis John

Poulson, Travis John is an individual health care provider with primary practice located at 1910 University Dr , Boise ID 83725-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Poulson, Travis John can be contacted via phone (262) 949-4026.

Contact Information

Primary practice address
1910 University Dr Boise ID 83725-0002
Phone: (262) 949-4026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X AT-713 Idaho

Profile Details

NPI number 1609453380
LBN Legal business name Poulson, Travis John
Credentials LAT, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2021
Last updated Mar 27th, 2021 - about 4 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.

Request for update

Popular Providers