Johnson, Trevor Russell

Johnson, Trevor Russell is an individual health care provider with primary practice located at 320 Santa Fe Dr Ste 301 , Encinitas CA 92024-5140. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Johnson, Trevor Russell can be contacted via phone (760) 633-4700.

Contact Information

Primary practice address
320 Santa Fe Dr Ste 301 Encinitas CA 92024-5140
Phone: (760) 633-4700
Fax: (760) 635-4344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X OTC 09-0802

Profile Details

NPI number 1609102698
LBN Legal business name Johnson, Trevor Russell
Credentials Orthopedic Technician, Certified (OTC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Oct 26th, 2009 - about 15 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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