Patton, Trever L

Patton, Trever L is an sole proprietor health care provider with primary practice located at 7807 E Funston St , Wichita KS 67207-3123. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Patton, Trever L can be contacted via phone (316) 636-1188.

Contact Information

Primary practice address
7807 E Funston St Wichita KS 67207-3123
Phone: (316) 636-1188
Fax: (316) 636-1190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1234 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202376 Idaho

Profile Details

NPI number 1013952134
LBN Legal business name Patton, Trever L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Feb 12th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013952134 NPPES
Idaho Other 16849372 MEDICARE GROUP PIN
Idaho Other N6300 MEDICARE GROUP PIN

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