Dr Travis Lee Stanford, DC is a
Chiropractor based in Siren, Wisconsin. Dr Travis Lee Stanford is licensed to practice in Wisconsin (license number 3347-012) and his current practice location is
24128 State Road 35, Siren, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 349-2770.
NPI number for Dr Travis Lee Stanford is 1942209812 and his current mailing address is 24128 State Road 35, Po Box 31, Siren, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942209812.
Healthcare Provider's Profile
| Full Name | Dr Travis Lee Stanford |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 24128 State Road 35, Siren, Wisconsin |
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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: 1942209812
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Travis Lee Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942209812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3347-012 (Wisconsin) | 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. Dr Travis Lee Stanford 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 |
|---|
Dr Travis Lee Stanford, DC
24128 State Road 35, Po Box 31,
Siren, WI 54872-8006
Ph: (715) 349-2770 | Dr Travis Lee Stanford, DC
24128 State Road 35,
Siren, WI 54872-8006
Ph: (715) 349-2770 |
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