Valderrama, Travis Mclain

Valderrama, Travis Mclain is an individual health care provider with primary practice located at 1460 E Victory Dr , Savannah GA 31404-4108. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Renal Dialysis, which is considered as his primary health care specialty. Valderrama, Travis Mclain can be contacted via phone (912) 412-0707.

Contact Information

Primary practice address
1460 E Victory Dr Savannah GA 31404-4108
Phone: (912) 412-0707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Renal Dialysis 2472R0900X 00022495 California
Technologists, Technicians & Other Technical Service Providers / Renal Dialysis 2472R0900X Georgia

Profile Details

NPI number 1629456082
LBN Legal business name Valderrama, Travis Mclain
Credentials RMA, CCHT-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Dec 23rd, 2018 - about 6 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 1629456082 NPPES
Oregon Other 06673 OREGON HEALTH AUTHORITY CHT
Oregon Other 041388 OREGON HEALTH AUTHORITY CHT
Oregon Other CHT 00022495 OREGON HEALTH AUTHORITY CHT
Oregon Other HT60672991 OREGON HEALTH AUTHORITY CHT

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