Underwood, Travis

Underwood, Travis is an individual health care provider with primary practice located at 226 West Main St Ste 201 , Ottumwa IA 52501-2520. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Underwood, Travis can be contacted via phone (641) 682-4804.

Contact Information

Primary practice address
226 West Main St Ste 201 Ottumwa IA 52501-2520
Phone: (641) 682-4804
Fax: (641) 814-5684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 007987 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007987 Iowa

Profile Details

NPI number 1811307903
LBN Legal business name Underwood, Travis
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2014
Last updated Oct 7th, 2022 - about 2 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 1811307903 NPPES
Iowa Other 1659353670 BCBS
Iowa MEDICAID 1659353670 BCBS

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