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
Phone: (216) 299-9977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194874990 | NPPES |
| Ohio | MEDICAID | 2639989 |
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