Trimble, Monty V

Trimble, Monty V is an sole proprietor health care provider with primary practice located at 3455 Locke Ave Suite 210, Fort Worth TX 76107-5719. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Trimble, Monty V can be contacted via phone (817) 529-6200.

Contact Information

Primary practice address
3455 Locke Ave Suite 210 Fort Worth TX 76107-5719
Phone: (817) 529-6200
Fax: (817) 529-6205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L4150 Texas

Profile Details

NPI number 1770681967
LBN Legal business name Trimble, Monty V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Apr 3rd, 2015 - about 11 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 1770681967 NPPES
Texas Other 7679401 AETNA
Texas MEDICAID 166931901 AETNA
Texas Other 8G2130 AETNA

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