Quiller, Travis Duane

Quiller, Travis Duane is an individual health care provider with primary practice located at 10021 Dupont Circle Ct , Fort Wayne IN 46825-1604. He recently has 6 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Specialist/Technologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Quiller, Travis Duane can be contacted via phone (260) 426-8117.

Contact Information

Primary practice address
10021 Dupont Circle Ct Fort Wayne IN 46825-1604
Phone: (260) 426-8117
Fax: (260) 420-0817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 8628 North Carolina
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 8628 North Carolina
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 8628 North Carolina
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 8628 North Carolina
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 8628 North Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002847A Indiana
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X 8628 North Carolina

Profile Details

NPI number 1679736680
LBN Legal business name Quiller, Travis Duane
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 8th, 2024 - about last year

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

Identifiers

StateTypeNumberIssuer
All States NPI 1679736680 NPPES
Indiana MEDICAID 300089169

Popular Providers