Whitesides, Travis Glenn

Whitesides, Travis Glenn is an sole proprietor health care provider with primary practice located at 309 Sanders St , Burlington KS 66839-2616. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Whitesides, Travis Glenn can be contacted via phone (620) 364-2121.

Contact Information

Primary practice address
309 Sanders St Burlington KS 66839-2616
Phone: (620) 364-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2019017032 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-01559 Kansas

Profile Details

NPI number 1689923732
LBN Legal business name Whitesides, Travis Glenn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2012
Last updated Sep 23rd, 2019 - 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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