Trolan, Therese

Trolan, Therese is an individual health care provider with primary practice located at 1820 41St Ave Ste D , Capitola CA 95010-2516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Trolan, Therese can be contacted via phone (831) 476-3000.

Contact Information

Primary practice address
1820 41St Ave Ste D Capitola CA 95010-2516
Phone: (831) 476-3000
Fax: (831) 476-9009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G61013 California

Profile Details

NPI number 1073616025
LBN Legal business name Trolan, Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1073616025 NPPES
California Other 00G610130 MEDI-CAL ID NUMBER

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