Travis, Paul Herman
Travis, Paul Herman is an sole proprietor health care provider with primary practice located at 3123 S 66Th St , Fort Smith AR 72903-5005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Travis, Paul Herman can be contacted via phone (479) 484-1400.Contact Information
Primary practice address
3123 S 66Th St
Fort Smith AR 72903-5005
Phone: (479) 484-1400
Fax: (479) 484-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 942 | Arkansas |
Profile Details
| NPI number | 1619947371 |
|---|---|
| LBN Legal business name | Travis, Paul Herman |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Aug 14th, 2013 - about 12 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 | 1619947371 | NPPES |
| Arkansas | MEDICAID | 105857-718 |
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