Travnicek, Robert Gordon

Travnicek, Robert Gordon is an individual health care provider with primary practice located at 15151 Community Rd , Gulfport MS 39503-3525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Travnicek, Robert Gordon can be contacted via phone (228) 831-5151.

Contact Information

Primary practice address
15151 Community Rd Gulfport MS 39503-3525
Phone: (228) 831-5151
Fax: (228) 831-5383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 12447 Mississippi

Profile Details

NPI number 1447330030
LBN Legal business name Travnicek, Robert Gordon
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 11th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447330030 NPPES
Mississippi MEDICAID 0123687

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