Individual
TRAVIS LEE CHABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157760
NC
163W00000X
Registered Nurse
340936
OH
367500000X
Certified Registered Nurse Anesthetist
075309
NC
367500000X
Certified Registered Nurse Anesthetist
10054
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124178942
TRICARE
NC
05
—
8052823
—
NC
01
—
P00601250
RAILROAD MEDICARE
NC
Enumeration date
01/12/2007
Last updated
05/26/2026
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