Williams, Travis G

Williams, Travis G is an individual health care provider with primary practice located at 520 S Eagle Rd , Meridian ID 83642-6351. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Williams, Travis G can be contacted via phone (208) 706-5651.

Contact Information

Primary practice address
520 S Eagle Rd Meridian ID 83642-6351
Phone: (208) 706-5651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL2972 Colorado
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0535122 Kansas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X O-0785 Idaho
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X O-0785 Idaho

Profile Details

NPI number 1043461817
LBN Legal business name Williams, Travis G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2008
Last updated Jun 8th, 2016 - about 8 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 1043461817 NPPES
Idaho MEDICAID 1043461817

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