Caldwell, Trevor Russell
Caldwell, Trevor Russell is an individual health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Caldwell, Trevor Russell can be contacted via phone (702) 791-9000.Contact Information
Primary practice address
6900 N Pecos Rd
North Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ML60093443 | Washington |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 54516 | Arizona |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 17136 | Nevada |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MT198717 | Pennsylvania |
Profile Details
NPI number | 1346579984 |
---|---|
LBN Legal business name | Caldwell, Trevor Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 10th, 2009 |
Last updated | Jul 16th, 2024 - about 5 months 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 | 1346579984 | NPPES |
Nevada | Other | V51430 | MEDICARE |
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