Yartz, Trevor

Yartz, Trevor is an individual health care provider with primary practice located at 619 5Th St Nw , Bemidji MN 56601-2914. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Yartz, Trevor can be contacted via phone (218) 751-4144.

Contact Information

Primary practice address
619 5Th St Nw Bemidji MN 56601-2914
Fax: (218) 751-3545
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9072 Minnesota

Profile Details

NPI number 1043281397
LBN Legal business name Yartz, Trevor
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 4th, 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 1043281397 NPPES
Minnesota MEDICAID 488963100

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