Blair, Trina Gebauer

Blair, Trina Gebauer is an individual health care provider with primary practice located at 3415 53Rd Ave , Bettendorf IA 52722-6976. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blair, Trina Gebauer can be contacted via phone (563) 742-4350.

Contact Information

Primary practice address
3415 53Rd Ave Bettendorf IA 52722-6976
Phone: (563) 742-4350
Fax: (563) 742-4355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002304 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001563 Iowa

Profile Details

NPI number 1598738635
LBN Legal business name Blair, Trina Gebauer
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jan 15th, 2014 - about 12 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 1598738635 NPPES
Iowa MEDICAID 1598738635
Iowa Other P00277546
Iowa Other 116106
Iowa Other 37592

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