Trevathan, Vanessa
Trevathan, Vanessa is an individual health care provider with primary practice located at 124 W Crescent Square Dr , Graham NC 27253-4014. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Trevathan, Vanessa can be contacted via phone (336) 227-0730.Contact Information
Primary practice address
124 W Crescent Square Dr
Graham NC 27253-4014
Phone: (336) 227-0730
Fax: (336) 227-0732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X |
Profile Details
| NPI number | 1235539016 |
|---|---|
| LBN Legal business name | Trevathan, Vanessa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2014 |
| Last updated | Aug 19th, 2021 - about 3 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 | 1235539016 | NPPES |
| North Carolina | MEDICAID | 7704282 |
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