Roberts, Travis Wayne

Roberts, Travis Wayne is an individual health care provider with primary practice located at 975 Solomons Island Rd N , Prince Frederick MD 20678-3917. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Roberts, Travis Wayne can be contacted via phone (410) 535-5400.

Contact Information

Primary practice address
975 Solomons Island Rd N Prince Frederick MD 20678-3917
Phone: (410) 535-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R205253 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R205253 Maryland

Profile Details

NPI number 1316457534
LBN Legal business name Roberts, Travis Wayne
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated May 5th, 2022 - 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 1316457534 NPPES
Other 1861849051 NPI
Other 1902955396 NPI

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