Russell, Trent

Russell, Trent is an sole proprietor health care provider with primary practice located at 5444 Green St , Murray UT 84123-5632. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Russell, Trent can be contacted via phone (801) 262-8120.

Contact Information

Primary practice address
5444 Green St Murray UT 84123-5632
Phone: (801) 262-8120
Fax: (801) 262-3897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1457630642
LBN Legal business name Russell, Trent
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2011
Last updated Aug 5th, 2011 - about 14 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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