Proffitt, Trent Lee
Proffitt, Trent Lee is an individual health care provider with primary practice located at 502 Elm St Ne , Albuquerque NM 87102-2512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Proffitt, Trent Lee can be contacted via phone (505) 841-1000.Contact Information
Primary practice address
502 Elm St Ne
Albuquerque NM 87102-2512
Phone: (505) 841-1000
Fax: (505) 843-2592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L3442 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | L3442 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD2015-0422 | New Mexico |
Profile Details
| NPI number | 1578513396 |
|---|---|
| LBN Legal business name | Proffitt, Trent Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Aug 6th, 2015 - about 10 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 | 1578513396 | NPPES |
| Texas | MEDICAID | 157817101 | |
| Texas | Other | 8J3515 |
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