Guzman Trevino, Guillermo M
Guzman Trevino, Guillermo M is an individual health care provider with primary practice located at 4424 E Flamingo Suite 200, Nampa ID 83687-9300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Guzman Trevino, Guillermo M can be contacted via phone (208) 288-4888.Contact Information
Primary practice address
4424 E Flamingo Suite 200
Nampa ID 83687-9300
Phone: (208) 288-4888
Fax: (208) 288-4890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD29170 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M-12168 | Idaho |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD-29170 | Oregon |
Profile Details
| NPI number | 1881828010 |
|---|---|
| LBN Legal business name | Guzman Trevino, Guillermo M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2009 |
| Last updated | Dec 9th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881828010 | NPPES |
| Oregon | MEDICAID | 500609069 | |
| Oregon | Other | 808416200 |
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