Ewing, Trevor Lee

Ewing, Trevor Lee is an individual health care provider with primary practice located at 2036 Jackson St , Alexandria LA 71301-6439. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ewing, Trevor Lee can be contacted via phone (318) 641-0444.

Contact Information

Primary practice address
2036 Jackson St Alexandria LA 71301-6439
Phone: (318) 641-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X R-4162 Louisiana

Profile Details

NPI number 1881367829
LBN Legal business name Ewing, Trevor Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2021
Last updated Jul 27th, 2021 - about 5 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 1881367829 NPPES
Louisiana Other R-4162 REGISTERED LINE TECHNICIAN

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