Travis, Patrick M

Travis, Patrick M is an individual health care provider with primary practice located at 3232 N Northhills Blvd , Fayetteville AR 72703-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Travis, Patrick M can be contacted via phone (479) 587-1700.

Contact Information

Primary practice address
3232 N Northhills Blvd Fayetteville AR 72703-4005
Phone: (479) 587-1700
Fax: (479) 587-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C7982 Arkansas

Profile Details

NPI number 1104897099
LBN Legal business name Travis, Patrick M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 30th, 2020 - about 4 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 1104897099 NPPES
Arkansas MEDICAID 129946001
Arkansas MEDICAID 100072200A
Arkansas MEDICAID 209994201

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