Ellico, Trevor James

Ellico, Trevor James is an individual health care provider with primary practice located at Helix: 30 N Mario Capechhi Dr Rm 5N200 , Salt Lake City UT 84112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Ellico, Trevor James can be contacted via phone (801) 581-2121.

Contact Information

Primary practice address
Helix: 30 N Mario Capechhi Dr Rm 5N200 Salt Lake City UT 84112
Phone: (801) 581-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 13891972-1204 Utah
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 13891972-1204 Utah

Profile Details

NPI number 1730716713
LBN Legal business name Ellico, Trevor James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Jul 18th, 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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