Ray, Trevor Vance

Ray, Trevor Vance is an individual health care provider with primary practice located at 908 Wallace Ave Suite 105, Leitchfield KY 42754-1479. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ray, Trevor Vance can be contacted via phone (270) 259-8500.

Contact Information

Primary practice address
908 Wallace Ave Suite 105 Leitchfield KY 42754-1479
Phone: (270) 259-8500
Fax: (270) 230-8517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 012012 Kentucky

Profile Details

NPI number 1982682878
LBN Legal business name Ray, Trevor Vance
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Apr 25th, 2011 - about 15 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 1982682878 NPPES
Kentucky Other 012012 KENTUCKY STATE LICENSE

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