Tadsen, Trent Skaar
Tadsen, Trent Skaar is an sole proprietor health care provider with primary practice located at 1225 Lambeth Way Se , Conyers GA 30013-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tadsen, Trent Skaar can be contacted via phone (770) 388-7068.Contact Information
Primary practice address
1225 Lambeth Way Se
Conyers GA 30013-1756
Phone: (770) 388-7068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02767 | Georgia |
Profile Details
| NPI number | 1710957204 |
|---|---|
| LBN Legal business name | Tadsen, Trent Skaar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710957204 | NPPES |
| Georgia | Other | 52043702-008 | BLUE CROSS BLUE SHIELD |
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