Individual
DR. TRAVIS BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1810 WEBSTER ST, SUITE 2, HUDSON, WI 54016-9305
(715) 386-6100
(715) 386-6298
Mailing address
1810 WEBSTER ST, SUITE 2, HUDSON, WI 54016-9305
(715) 386-6100
(715) 386-6298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4313
WI
111N00000X
Chiropractor
4935
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046N7BE
BLUE CROSS AND BLUE SHIELD OF MINNESOTA
MN
05
—
38976700
—
WI
Enumeration date
04/03/2007
Last updated
09/08/2008
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