| Travidc, Llc | |
|
13 Tanner St, Haddonfield, NJ 08033-2470 | |
| (856) 354-0044 | |
| (856) 354-1944 |
| Full Name | Travidc, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13 Tanner St, Haddonfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629267638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00543800 (New Jersey) | Primary |
| Provider Name | Travis C Williams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538219886 PECOS PAC ID: 0244372183 Enrollment ID: I20100115000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Travidc, Llc 13 Tanner St, Haddonfield, NJ 08033-2470 Ph: (856) 354-0044 | Travidc, Llc 13 Tanner St, Haddonfield, NJ 08033-2470 Ph: (856) 354-0044 |
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