Conner, Trevor

Conner, Trevor is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Conner, Trevor can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3555 S National Ave Springfield MO 65807-7310
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018023704 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2018023704 Missouri

Profile Details

NPI number 1083134902
LBN Legal business name Conner, Trevor
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Aug 12th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083134902 NPPES
Missouri MEDICAID 200050337

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