Trevino, Saul Generoso

Trevino, Saul Generoso is an individual health care provider with primary practice located at 1100 Virginia Ave , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Trevino, Saul Generoso can be contacted via phone (573) 882-2663.

Contact Information

Primary practice address
1100 Virginia Ave Columbia MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 882-1760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X D3420 Texas
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 2007003916 Missouri

Profile Details

NPI number 1912085358
LBN Legal business name Trevino, Saul Generoso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jun 2nd, 2010 - about 15 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 1912085358 NPPES
Missouri MEDICAID 204582209
Missouri MEDICAID P085566J5

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