Soergel, Trevor M

Soergel, Trevor M is an individual health care provider with primary practice located at 101 Hospital Blvd. , Jeffersonville IN 47130-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Soergel, Trevor M can be contacted via phone (812) 282-3899.

Contact Information

Primary practice address
101 Hospital Blvd. Jeffersonville IN 47130-3748
Phone: (812) 282-3899
Fax: (812) 282-4172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01053673A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 38741 Kentucky

Profile Details

NPI number 1649267725
LBN Legal business name Soergel, Trevor M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 24th, 2007 - about 17 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 1649267725 NPPES
Kentucky MEDICAID 64101983
Kentucky Other P00238795
Kentucky Other P00251775

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