National Provider Identifier Database

TRAVIS R GHOLSON, DC – NPI #1477659738
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

TRAVIS R GHOLSON, DC
120 S DIVISION
NORRIS CITY, IL62869
Phone: 618-378-3330
Fax: 618-378-3450
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for TRAVIS R GHOLSON

NPI Number 1477659738
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/15/2006
Last updated 08/23/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 038008660
  • IL Medicaid: 038008660
  • IL Other: 09726159 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

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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