Cuellar, Trajan Alistair

Cuellar, Trajan Alistair is an individual health care provider with primary practice located at 2801 University Dr S , Fargo ND 58103-6029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Cuellar, Trajan Alistair can be contacted via phone (701) 234-5673.

Contact Information

Primary practice address
2801 University Dr S Fargo ND 58103-6029
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 23151 Mississippi
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 20925 North Dakota

Profile Details

NPI number 1407015001
LBN Legal business name Cuellar, Trajan Alistair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 5th, 2024 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407015001 NPPES
Florida MEDICAID 024723200

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