Ebersole, Trina G

Ebersole, Trina G is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Plastics, Ste 6G, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Ebersole, Trina G can be contacted via phone (314) 362-7388.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Plastics, Ste 6G Saint Louis MO 63110-1032
Phone: (314) 362-7388
Fax: (833) 301-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2022033462 Missouri

Profile Details

NPI number 1902289762
LBN Legal business name Ebersole, Trina G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902289762 NPPES
Missouri MEDICAID 200061848

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