Thomas, Trent

Thomas, Trent is an individual health care provider with primary practice located at 1607 Martin Luther King Jr Dr , Greensboro NC 27406-2423. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Chore Provider, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Thomas, Trent can be contacted via phone (336) 965-7186.

Contact Information

Primary practice address
1607 Martin Luther King Jr Dr Greensboro NC 27406-2423
Phone: (336) 965-7186
Fax: (888) 821-5068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Nursing Service Related Providers / Chore Provider 372500000X 430176 North Carolina
Other Service Providers / Peer Specialist 175T00000X 2018-5019-01 North Carolina

Profile Details

NPI number 1811358864
LBN Legal business name Thomas, Trent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Jun 11th, 2019 - about 5 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 1811358864 NPPES
North Carolina Other 2018-5019-01 NCCPSS
North Carolina MEDICAID 246915141O NCCPSS

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