Prault, Trent Lorne
Prault, Trent Lorne is an individual health care provider with primary practice located at 550 Redmond Rd Nw , Rome GA 30165-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Prault, Trent Lorne can be contacted via phone (706) 233-8508.Contact Information
Primary practice address
550 Redmond Rd Nw
Rome GA 30165-1416
Phone: (706) 233-8508
Fax: (706) 233-8509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 058103 | Georgia |
Profile Details
| NPI number | 1992746747 |
|---|---|
| LBN Legal business name | Prault, Trent Lorne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Apr 28th, 2020 - about 5 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 | 1992746747 | NPPES |
| Georgia | MEDICAID | 057976876A |
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