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
Phone: (218) 751-4144
Fax: (218) 751-3545
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043281397 | NPPES |
Minnesota | MEDICAID | 488963100 |
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