Tessendorf, Travis J

Tessendorf, Travis J is an individual health care provider with primary practice located at 2360 26Th Ave , Columbus NE 68601-2527. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tessendorf, Travis J can be contacted via phone (402) 564-0193.

Contact Information

Primary practice address
2360 26Th Ave Columbus NE 68601-2527
Phone: (402) 564-0193
Fax: (402) 564-0179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1197 Nebraska

Profile Details

NPI number 1427040724
LBN Legal business name Tessendorf, Travis J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 31st, 2014 - about 10 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 1427040724 NPPES
Nebraska Other 09641 BLUE CROSS BLUE SHIELD
Nebraska Other 15979 BLUE CROSS BLUE SHIELD
Nebraska MEDICAID 47082197400 BLUE CROSS BLUE SHIELD
Nebraska Other 470821974 BLUE CROSS BLUE SHIELD
Nebraska Other 350049151 BLUE CROSS BLUE SHIELD

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