Mcdaniel, Trent Wesley
Mcdaniel, Trent Wesley is an individual health care provider with primary practice located at 2037 Congress Pkwy S , Athens TN 37303-2813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcdaniel, Trent Wesley can be contacted via phone (423) 381-0152.Contact Information
Primary practice address
2037 Congress Pkwy S
Athens TN 37303-2813
Phone: (423) 381-0152
Fax: (423) 381-8063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-111703 | Illinois |
Profile Details
| NPI number | 1437119989 |
|---|---|
| LBN Legal business name | Mcdaniel, Trent Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Apr 1st, 2022 - about 2 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 | 1437119989 | NPPES |
| Illinois | Other | P00351072 | RAIL ROAD MEDICARE |
| Illinois | Other | 2368975 | RAIL ROAD MEDICARE |
| Illinois | MEDICAID | 036111703 | RAIL ROAD MEDICARE |
| Illinois | Other | 08232205 | RAIL ROAD MEDICARE |
| Illinois | Other | 678197 | RAIL ROAD MEDICARE |
| Illinois | Other | 095778 | RAIL ROAD MEDICARE |
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