Gage, Trevor J

Gage, Trevor J is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste. 180, Johnson City TN 37604-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gage, Trevor J can be contacted via phone (423) 794-5540.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste. 180 Johnson City TN 37604-2364
Phone: (423) 794-5540
Fax: (423) 926-3187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36480 Tennessee

Profile Details

NPI number 1235134073
LBN Legal business name Gage, Trevor J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 26th, 2008 - about 16 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 1235134073 NPPES
Tennessee MEDICAID 3876455

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