Streat, Travis Vincent

Streat, Travis Vincent is an sole proprietor health care provider with primary practice located at 731 Cameron Dr , Blackshear GA 31516-1309. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Streat, Travis Vincent can be contacted via phone (912) 449-4444.

Contact Information

Primary practice address
731 Cameron Dr Blackshear GA 31516-1309
Fax: (912) 449-8735
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH016935 Georgia

Profile Details

NPI number 1811584881
LBN Legal business name Streat, Travis Vincent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2020
Last updated Dec 24th, 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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