Trevino, David R

Trevino, David R is an sole proprietor health care provider with primary practice located at 255 W Lancaster Ave Mob Ii Suite 121, Paoli PA 19301-1763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Trevino, David R can be contacted via phone (610) 647-8885.

Contact Information

Primary practice address
255 W Lancaster Ave Mob Ii Suite 121 Paoli PA 19301-1763
Fax: (610) 640-3832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD025295E Pennsylvania
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD025295E Pennsylvania

Profile Details

NPI number 1215918990
LBN Legal business name Trevino, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jul 16th, 2008 - about 16 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 1215918990 NPPES
Pennsylvania Other 110225028 RAILROAD MEDICARE

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