Blythe, Trina J
Blythe, Trina J is an individual health care provider with primary practice located at 20 Progress Point Pkwy Ste 100 , O Fallon MO 63368-2207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blythe, Trina J can be contacted via phone (636) 344-2213.Contact Information
Primary practice address
20 Progress Point Pkwy Ste 100
O Fallon MO 63368-2207
Phone: (636) 344-2213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 119707 | Missouri |
Profile Details
| NPI number | 1316080559 |
|---|---|
| LBN Legal business name | Blythe, Trina J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Feb 13th, 2023 - about 2 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 | 1316080559 | NPPES |
| Missouri | Other | 122086 | BLUE CROSS BLUE SHIELD ID |
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