Travisano, Vincent Louis
Travisano, Vincent Louis is an sole proprietor health care provider with primary practice located at 7509 Big Bend Blvd , Saint Louis MO 63119-2103. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Travisano, Vincent Louis can be contacted via phone (314) 961-3113.Contact Information
Primary practice address
7509 Big Bend Blvd
Saint Louis MO 63119-2103
Phone: (314) 961-3113
Fax: (314) 968-7529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000459 | Missouri |
Profile Details
| NPI number | 1932189115 |
|---|---|
| LBN Legal business name | Travisano, Vincent Louis |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2006 |
| Last updated | Jun 13th, 2013 - about 11 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 | 1932189115 | NPPES |
| Missouri | MEDICAID | 301841607 |
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