Winston, Travis Weaver

Winston, Travis Weaver is an individual health care provider with primary practice located at 1 Childrens Pl Ste 1B, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Winston, Travis Weaver can be contacted via phone (314) 454-6062.

Contact Information

Primary practice address
1 Childrens Pl Ste 1B Saint Louis MO 63110-1002
Phone: (314) 454-6062
Fax: (314) 454-4562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2019012462 Missouri
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 2019012462 Missouri

Profile Details

NPI number 1477963361
LBN Legal business name Winston, Travis Weaver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2014
Last updated Nov 9th, 2021 - about 3 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 1477963361 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 200070814

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