Travis, Philip Stanley
Travis, Philip Stanley is an individual health care provider with primary practice located at 124A S University Blvd , Mobile AL 36608. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Travis, Philip Stanley can be contacted via phone (251) 343-5004.Contact Information
Primary practice address
124A S University Blvd
Mobile AL 36608
Phone: (251) 343-5004
Fax: (251) 343-8383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 15173 | Alabama |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 15173 | Alabama |
Profile Details
| NPI number | 1952386641 |
|---|---|
| LBN Legal business name | Travis, Philip Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952386641 | NPPES |
| Alabama | MEDICAID | 000082241 | |
| Alabama | Other | 51082241 |
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