Addison, Trevor Glenn

Addison, Trevor Glenn is an sole proprietor health care provider with primary practice located at 1620 Pajaro Ct. , Fremont CA 94539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Addison, Trevor Glenn can be contacted via phone (510) 673-2085.

Contact Information

Primary practice address
1620 Pajaro Ct. Fremont CA 94539
Phone: (510) 673-2085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 2000026911 California

Profile Details

NPI number 1295264653
LBN Legal business name Addison, Trevor Glenn
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2017
Last updated Jul 21st, 2022 - about 4 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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