Munger, Trevor Dale

Munger, Trevor Dale is an individual health care provider with primary practice located at 1700 E Bogard Rd Ste 104 Building B, Wasilla AK 99654-6563. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Munger, Trevor Dale can be contacted via phone (907) 743-9991.

Contact Information

Primary practice address
1700 E Bogard Rd Ste 104 Building B Wasilla AK 99654-6563
Phone: (907) 743-9991
Fax: (907) 743-9992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO01700 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X CPO01700 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO01700 Delaware

Profile Details

NPI number 1962761973
LBN Legal business name Munger, Trevor Dale
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2012
Last updated May 10th, 2012 - about 13 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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