Baldwin, Trevor J
Baldwin, Trevor J is an individual health care provider with primary practice located at 1721 W Main St , Sun Prairie WI 53590-3161. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometric Assistant, Eye and Vision Services Providers / Optician, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Baldwin, Trevor J can be contacted via phone (608) 837-7325.Contact Information
Primary practice address
1721 W Main St
Sun Prairie WI 53590-3161
Phone: (608) 837-7325
Fax: (608) 837-7326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1926-035 | Wisconsin |
| Eye and Vision Services Providers / Optometric Assistant | 156FX1201X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1926-035 | Wisconsin |
Profile Details
| NPI number | 1407801152 |
|---|---|
| LBN Legal business name | Baldwin, Trevor J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407801152 | NPPES |
| Other | 000247780 | MEDICARE PROVIDER NUMBER |
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