Travis Ian Hallquist, DNP, CRNA | |
6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | |
(225) 939-1982 | |
Not Available |
Full Name | Travis Ian Hallquist |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6600 Van Aalst Blvd, Fort Benning, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578187431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 269177 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 6378 (North Carolina) | Primary |
Entity Name | Chs Anesthesia Services Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
Mailing Address | Practice Location Address |
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Travis Ian Hallquist, DNP, CRNA 1291 Front Ave Unit 404, Columbus, GA 31901-5278 Ph: (225) 939-1982 | Travis Ian Hallquist, DNP, CRNA 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: (225) 939-1982 |
Christopher B Miles, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-2041 | |
Jason Washington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 757-218-5078 | |
Mr. Barry Alan Vance, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1442 | |
Miss Natalie Marie Wilson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 912-980-4214 |