Travis, Lee Richard

Travis, Lee Richard is an individual health care provider with primary practice located at 2475 Broadway , Helena MT 59601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Travis, Lee Richard can be contacted via phone (406) 457-4180.

Contact Information

Primary practice address
2475 Broadway Helena MT 59601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 7541 Montana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7541 Montana

Profile Details

NPI number 1629179262
LBN Legal business name Travis, Lee Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Mar 30th, 2018 - about 6 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 1629179262 NPPES
Montana Other 99968 BCBS OF MT

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