Toll, Travis C

Toll, Travis C is an sole proprietor health care provider with primary practice located at 1175 E Main St Ste 1C , Medford OR 97504-7457. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Toll, Travis C can be contacted via phone (541) 772-0127.

Contact Information

Primary practice address
1175 E Main St Ste 1C Medford OR 97504-7457
Phone: (541) 772-0127
Fax: (541) 772-0966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1902094949
LBN Legal business name Toll, Travis C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2007
Last updated Mar 17th, 2018 - about 6 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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