Travis, Georganna Louise

Travis, Georganna Louise is an sole proprietor health care provider with primary practice located at 397 E 222Nd St B15, Euclid OH 44123-1747. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Travis, Georganna Louise can be contacted via phone (216) 299-9977.

Contact Information

Primary practice address
397 E 222Nd St B15 Euclid OH 44123-1747
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 121595 Ohio

Profile Details

NPI number 1194874990
LBN Legal business name Travis, Georganna Louise
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 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 1194874990 NPPES
Ohio MEDICAID 2639989

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