Clayborn, Trevor L

Clayborn, Trevor L is an individual health care provider with primary practice located at 2345 Bent Way , Longmont CO 80503-7614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clayborn, Trevor L can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2345 Bent Way Longmont CO 80503-7614
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43931 Colorado

Profile Details

NPI number 1639209471
LBN Legal business name Clayborn, Trevor L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639209471 NPPES
Colorado MEDICAID 11976578
Colorado Other 016614

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