Van Oostrom, Trevor

Van Oostrom, Trevor is an individual health care provider with primary practice located at 2500 S Woodworth Loop , Palmer AK 99645-8984. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Van Oostrom, Trevor can be contacted via phone (907) 745-0374.

Contact Information

Primary practice address
2500 S Woodworth Loop Palmer AK 99645-8984
Phone: (907) 745-0374
Fax: (907) 745-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5592 Alaska

Profile Details

NPI number 1730130014
LBN Legal business name Van Oostrom, Trevor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 9th, 2007 - about 18 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 1730130014 NPPES
Alaska MEDICAID MD0271
Alaska Other P00283147
Alaska Other CI9459
Alaska MEDICAID MDG417

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