Carroll, Trevor D
Carroll, Trevor D is an individual health care provider with primary practice located at 120 William Penn Plz , Durham NC 27704-2150. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Carroll, Trevor D can be contacted via phone (919) 220-5255.Contact Information
Primary practice address
120 William Penn Plz
Durham NC 27704-2150
Phone: (919) 220-5255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2021-03178 | North Carolina |
Profile Details
| NPI number | 1265828487 |
|---|---|
| LBN Legal business name | Carroll, Trevor D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2015 |
| Last updated | Dec 10th, 2021 - about 5 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 | 1265828487 | NPPES |
| North Carolina | Other | 2021-03178 | MEDICAL LIENSE |
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