Sterenchock, Trent Douglas
Sterenchock, Trent Douglas is an individual health care provider with primary practice located at 233 N Houston Rd Ste 100 , Warner Robins GA 31093-8944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sterenchock, Trent Douglas can be contacted via phone (478) 352-7020.Contact Information
Primary practice address
233 N Houston Rd Ste 100
Warner Robins GA 31093-8944
Phone: (478) 352-7020
Fax: (478) 293-1583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101056269 | Virginia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 061968 | Georgia |
Profile Details
| NPI number | 1063580207 |
|---|---|
| LBN Legal business name | Sterenchock, Trent Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Feb 2nd, 2024 - about 9 months 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 | 1063580207 | NPPES |
| Georgia | MEDICAID | 705543780A | |
| Georgia | MEDICAID | 705543780D | |
| Georgia | MEDICAID | 705543780B |
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