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NPI Code Detail

MEDICARE: TRAVIS CLARK HAS

MEDICARE: TRAVIS CLARK HAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistIL02725OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IL02725OTHEROHSTATE LICENSE

General Provider Information

NPI Number : 1861765398
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS CLARK HAS
Provider Business Mailing Address
First Line : 5035 JOHNSON RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-4072
Country : US
Telephone Number : 614-203-2715
Fax Number :
Provider Business Practice Location Address
First Line : 5035 JOHNSON RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-4072
Country : US
Telephone Number : 614-203-2715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2012
Last Update Date : 03/04/2026

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Directions to “ TRAVIS CLARK HAS” Practice Location

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