Travis, Roger
Travis, Roger is an sole proprietor health care provider with primary practice located at 27351 Dequindre Rd , Madison Hts MI 48071-3487. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Travis, Roger can be contacted via phone (248) 967-7795.Contact Information
Primary practice address
27351 Dequindre Rd
Madison Hts MI 48071-3487
Phone: (248) 967-7795
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO 3865 | Florida |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO 3865 | Florida |
Profile Details
NPI number | 1619165420 |
---|---|
LBN Legal business name | Travis, Roger |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 2007 |
Last updated | Jan 9th, 2017 - about 7 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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