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Contact Information

TRAVIS R GHOLSON, DC
120 S DIVISION
NORRIS CITY, IL62869
 Phone: 618-378-3330
 Fax: 618-378-3450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TRAVIS R GHOLSON · (Male)

NPI # 1477659738
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/15/2006
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 038008660
  • IL Medicaid 038008660
  • IL Other 09726159 BLUE CROSS BLUE SHIELD
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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