Ross, Travis Sanders

Ross, Travis Sanders is an individual health care provider with primary practice located at 3622 N Main St , Hope Mills NC 28348-1937. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ross, Travis Sanders can be contacted via phone (910) 423-7771.

Contact Information

Primary practice address
3622 N Main St Hope Mills NC 28348-1937
Fax: (910) 423-4177
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001000298 North Carolina

Profile Details

NPI number 1578520417
LBN Legal business name Ross, Travis Sanders
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 10th, 2024 - about 5 months 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 1578520417 NPPES
North Carolina MEDICAID 89012YE

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