Mr Travis Rhine Gholson, DC is a
Chiropractor based in Norris City, Illinois. Mr Travis Rhine Gholson is licensed to practice in Illinois (license number 038008660) and his current practice location is
120 S Division, Norris City, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 378-3330.
NPI number for Mr Travis Rhine Gholson is 1477659738 and his current mailing address is 1600 Sunset Dr, Carmi, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477659738.
Healthcare Provider's Profile
| Full Name | Mr Travis Rhine Gholson |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 120 S Division, Norris City, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477659738
- Provider Enumeration Date: 09/15/2006
- Last Update Date: 08/23/2018
Medical Identifiers
Medical identifiers for Mr Travis Rhine Gholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477659738 | NPI | - | NPPES |
| 09726159 | Other | IL | BLUE CROSS BLUE SHIELD |
| 038008660 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 038008660 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Travis Rhine Gholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Travis Rhine Gholson, DC
1600 Sunset Dr,
Carmi, IL 62821-2214
Ph: (618) 378-3330 | Mr Travis Rhine Gholson, DC
120 S Division,
Norris City, IL 62869
Ph: (618) 378-3330 |
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