Trebon, Susan Geraldine
Trebon, Susan Geraldine is an individual health care provider with primary practice located at 35000 Guadacanal Street , San Diego CA 92140-5599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Trebon, Susan Geraldine can be contacted via phone (619) 524-4082.Contact Information
Primary practice address
35000 Guadacanal Street
San Diego CA 92140-5599
Phone: (619) 524-4082
Fax: (619) 524-0852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 17001 | California |
Profile Details
| NPI number | 1912973611 |
|---|---|
| LBN Legal business name | Trebon, Susan Geraldine |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 3rd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912973611 | NPPES |
| California | Other | 17001 | PHYSICAN ASSISTANT LICENS |
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