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Contact Information

TRAVIS J PTACEK MD PLLC
529 KANSAS CITY ST STE 203
RAPID CITY, SD57701-3693
 Phone: 605-223-0011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRAVIS J PTACEK MD PLLC · (Female)

NPI # 1265113260
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2023
Last updated 10/16/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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