Trevino, Courtney Mota
Trevino, Courtney Mota is an individual health care provider with primary practice located at 83B Faunce Corner Rd , North Dartmouth MA 02747. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Trevino, Courtney Mota can be contacted via phone (508) 997-6591.Contact Information
Primary practice address
83B Faunce Corner Rd
North Dartmouth MA 02747
Phone: (508) 997-6591
Fax: (508) 994-9175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00616 | Rhode Island |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5113 | Massachusetts |
Profile Details
| NPI number | 1255712378 |
|---|---|
| LBN Legal business name | Trevino, Courtney Mota |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2015 |
| Last updated | Jul 26th, 2018 - about 6 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 | 1255712378 | NPPES |
| Rhode Island | MEDICAID | 1255712378 |
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