Travers, Gerald Richard

Travers, Gerald Richard is an individual health care provider with primary practice located at 1612 E Pikes Peak Ave , Colorado Springs CO 80909-5619. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Travers, Gerald Richard can be contacted via phone (719) 475-8080.

Contact Information

Primary practice address
1612 E Pikes Peak Ave Colorado Springs CO 80909-5619
Phone: (719) 475-8080
Fax: (719) 475-0913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 283 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 283 Colorado

Profile Details

NPI number 1568455061
LBN Legal business name Travers, Gerald Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 7th, 2023 - about last year

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 1568455061 NPPES
Colorado MEDICAID 04011300

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