Worrell, Travis G
Worrell, Travis G is an sole proprietor health care provider with primary practice located at 351 Commonwealth Blvd E , Martinsville VA 24112-1917. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Worrell, Travis G can be contacted via phone (276) 403-5779.Contact Information
Primary practice address
351 Commonwealth Blvd E
Martinsville VA 24112-1917
Phone: (276) 403-5779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | ||
| Behavioral Health & Social Service Providers / School | 103TS0200X | 0183000199 | Virginia |
Profile Details
| NPI number | 1982102893 |
|---|---|
| LBN Legal business name | Worrell, Travis G |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2018 |
| Last updated | Jan 25th, 2018 - 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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