Trimble, Michael Robert

Trimble, Michael Robert is an individual health care provider with primary practice located at 1514 Goldrush Rd , Bullhead City AZ 86442-8375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Trimble, Michael Robert can be contacted via phone (928) 704-6070.

Contact Information

Primary practice address
1514 Goldrush Rd Bullhead City AZ 86442-8375
Phone: (928) 704-6070
Fax: (928) 704-6072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33104 Arizona

Profile Details

NPI number 1558428581
LBN Legal business name Trimble, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Sep 11th, 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 1558428581 NPPES
Arizona Other 4543437 AETNA
Arizona Other 874679002 AETNA
Arizona Other 874679 AETNA
Arizona Other 1414832 AETNA
Arizona Other 2Z5220 AETNA
Arizona Other AZ0762251 AETNA
Arizona MEDICAID 874679 AETNA

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