Trollman, Joseph Lavern
Trollman, Joseph Lavern is an sole proprietor health care provider with primary practice located at 201 E Caroline St , Fenton MI 48430-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Trollman, Joseph Lavern can be contacted via phone (810) 629-4187.Contact Information
Primary practice address
201 E Caroline St
Fenton MI 48430-2105
Phone: (810) 629-4187
Fax: (810) 629-9662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101005954 | Michigan |
Profile Details
| NPI number | 1811014491 |
|---|---|
| LBN Legal business name | Trollman, Joseph Lavern |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Sep 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811014491 | NPPES |
| Michigan | MEDICAID | 1001880 | |
| Michigan | Other | 0152524585 |
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