Trunick, Ida Caroline Suzanne

Trunick, Ida Caroline Suzanne is an sole proprietor health care provider with primary practice located at 1101 Camino La Costa , Austin TX 78752-3930. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Trunick, Ida Caroline Suzanne can be contacted via phone (512) 684-1744.

Contact Information

Primary practice address
1101 Camino La Costa Austin TX 78752-3930
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1558887398
LBN Legal business name Trunick, Ida Caroline Suzanne
Credentials MA, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2017
Last updated Aug 14th, 2017 - about 7 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 1558887398 NPPES
Other L-35230 IBCLE

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