Trujillo, Todd

Trujillo, Todd is an individual health care provider with primary practice located at 705 N Lake Blvd Box 5591, Tahoe City CA 96145-5591. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Trujillo, Todd can be contacted via phone (707) 494-6774.

Contact Information

Primary practice address
705 N Lake Blvd Box 5591 Tahoe City CA 96145-5591
Phone: (707) 494-6774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26413 California

Profile Details

NPI number 1679787014
LBN Legal business name Trujillo, Todd
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Feb 11th, 2015 - about 9 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 1679787014 NPPES
Nevada Other FN041Z MEDICARE ID

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