Trotter, Phyllis J

Trotter, Phyllis J is an sole proprietor health care provider with primary practice located at 1136 E Grande Blvd , Tyler TX 75703-3982. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Trotter, Phyllis J can be contacted via phone (903) 592-5601.

Contact Information

Primary practice address
1136 E Grande Blvd Tyler TX 75703-3982
Phone: (903) 592-5601
Fax: (903) 595-3304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3575 Oklahoma
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 80550 Texas

Profile Details

NPI number 1144394529
LBN Legal business name Trotter, Phyllis J
Credentials AU. D./ CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 21st, 2022 - about 2 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 1144394529 NPPES
Texas MEDICAID 322324001
Texas Other 80859A
Texas MEDICAID 54903
Texas Other 75-2616977-009
Texas Other P01226413

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