Travis Charles Headley PA

  • NPI 1659484483
According to our database, the NPI number for Travis Charles Headley PA is 1659484483 and activated since 17 years ago. Travis Charles Headley PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 850 W Ironwood Dr, Coeur D Alene, ID 83814. You can also contact Travis Charles Headley PA via telephone number is (208) 664-2175. Provider NPI information was last updated on 06/12/2020.

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Overview of Travis Charles Headley PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/16/2006
  • Last updated: 06/12/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA406
  • License State: ID

Provider Mailing Address

  • Address: 850 W Ironwood Dr
    Suite 202
    Coeur D Alene, ID 83814
  • Phone: 208-664-2175
  • Fax: 208-664-1226

Provider Practice Location

  • Address: 850 W Ironwood Dr
    Suite 202
    Coeur D Alene, ID 83814
  • Phone: 208-664-2175
  • Fax: 208-664-1226

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA406
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: PA406
  • Identifier Type: Other
  • Identifier State: ID
  • Issuer: LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Travis Charles Headley PA?
  • A: The npi number for Travis Charles Headley PA is 1659484483.
  • Q: What are Travis Charles Headley PA's specialties?
  • A: Travis Charles Headley PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Travis Charles Headley PA?
  • A: The medical license number for Travis Charles Headley PA is PA406 and issued in ID in USA.
  • Q: Where is Travis Charles Headley PA practice location?
  • A: Travis Charles Headley PA is practicing at 850 W Ironwood Dr, Coeur D Alene, ID 83814.
  • Q: How to contact Travis Charles Headley PA?
  • A: You can contact Travis Charles Headley PA via 208-664-2175.