Travis, William Joseph

Travis, William Joseph is an individual health care provider with primary practice located at 6200 Dutchmans Ln , Louisville KY 40205-3271. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Travis, William Joseph can be contacted via phone (502) 456-6200.

Contact Information

Primary practice address
6200 Dutchmans Ln Louisville KY 40205-3271
Phone: (502) 456-6200
Fax: (502) 456-6655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24510 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01078803A Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 01078803A Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 24510 Kentucky

Profile Details

NPI number 1174513790
LBN Legal business name Travis, William Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 19th, 2024 - about 9 months 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 1174513790 NPPES
Kentucky MEDICAID 64245103

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