Travelstead, Robert

Travelstead, Robert is an sole proprietor health care provider with primary practice located at 22105 2Nd Pl W , Bothell WA 98021-8294. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Travelstead, Robert can be contacted via phone (425) 487-2917.

Contact Information

Primary practice address
22105 2Nd Pl W Bothell WA 98021-8294
Phone: (425) 487-2917
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OI00000263 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS00000264 Washington

Profile Details

NPI number 1902097645
LBN Legal business name Travelstead, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Oct 27th, 2007 - about 17 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 1902097645 NPPES
Washington MEDICAID 9012188

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