Capron, Trevor A

Capron, Trevor A is an individual health care provider with primary practice located at 1301 W Main St , Lake City IA 51449-1585. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Capron, Trevor A can be contacted via phone (712) 464-3171.

Contact Information

Primary practice address
1301 W Main St Lake City IA 51449-1585
Fax:
Website:

Profile Details

NPI number 1053446401
LBN Legal business name Capron, Trevor A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated May 13th, 2015 - about 11 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 1053446401 NPPES
Minnesota MEDICAID 104665000

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