Travis, Richard Thomas
Travis, Richard Thomas is an sole proprietor health care provider with primary practice located at 3113 Catrina Ln , Annapolis MD 21403-4340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Travis, Richard Thomas can be contacted via phone (410) 280-2057.Contact Information
Primary practice address
3113 Catrina Ln
Annapolis MD 21403-4340
Phone: (410) 280-2057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D0046550 | Maryland |
Profile Details
| NPI number | 1952812208 |
|---|---|
| LBN Legal business name | Travis, Richard Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2017 |
| Last updated | Oct 13th, 2017 - about 8 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 | 1952812208 | NPPES |
| Maryland | Other | D0046550 | MEDICAL LICENSE NUMBER |
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