Layne, Trevor

Layne, Trevor is an sole proprietor health care provider with primary practice located at 354 Main St , West Orange NJ 07052-5726. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Layne, Trevor can be contacted via phone (973) 731-2201.

Contact Information

Primary practice address
354 Main St West Orange NJ 07052-5726
Phone: (973) 731-2201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA61795 New Jersey
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MA061795 New Jersey

Profile Details

NPI number 1124089719
LBN Legal business name Layne, Trevor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Dec 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124089719 NPPES
New Jersey MEDICAID 7402104

Popular Providers