Richardson, Travis A

Richardson, Travis A is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy Ste 1400 , Avon IN 46123-7085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Richardson, Travis A can be contacted via phone (317) 217-2777.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Ste 1400 Avon IN 46123-7085
Phone: (317) 217-2777
Fax: (317) 217-2775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01049572 Indiana

Profile Details

NPI number 1073606984
LBN Legal business name Richardson, Travis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073606984 NPPES
Indiana MEDICAID 200525560

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