Roethler, Travis L

Roethler, Travis L is an individual health care provider with primary practice located at 300 State Ave , Faribault MN 55021-6319. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roethler, Travis L can be contacted via phone (507) 333-3300.

Contact Information

Primary practice address
300 State Ave Faribault MN 55021-6319
Phone: (507) 333-3300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9141 Minnesota

Profile Details

NPI number 1164400057
LBN Legal business name Roethler, Travis L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Oct 26th, 2020 - about 5 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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