Wiggett, Travis
Wiggett, Travis is an sole proprietor health care provider with primary practice located at 14 Maine St Ste 216D , Brunswick ME 04011-2082. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wiggett, Travis can be contacted via phone (207) 406-2697.Contact Information
Primary practice address
14 Maine St Ste 216D
Brunswick ME 04011-2082
Phone: (207) 406-2697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC3364 | Maine |
Profile Details
| NPI number | 1598812844 |
|---|---|
| LBN Legal business name | Wiggett, Travis |
| Credentials | MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 25th, 2019 - about 5 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 | 1598812844 | NPPES |
| Rhode Island | Other | 413206 | BLUE CHIP |
| Rhode Island | MEDICAID | FM49368 | BLUE CHIP |
| Rhode Island | Other | 31234-7 | BLUE CHIP |
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