Travis, Eric

Travis, Eric is an individual health care provider with primary practice located at 18800 Main St Suite 104, Huntington Beach CA 92648-1707. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Travis, Eric can be contacted via phone (714) 841-1963.

Contact Information

Primary practice address
18800 Main St Suite 104 Huntington Beach CA 92648-1707
Phone: (714) 841-1963
Fax: (714) 841-6919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4459 California

Profile Details

NPI number 1104926070
LBN Legal business name Travis, Eric
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1104926070 NPPES
California Other 000E44590 B/S OF CAL-INDIVIDUAL ID
California Other 73-1649799 B/S OF CAL-INDIVIDUAL ID

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