Ingraham, Trevor

Ingraham, Trevor is an individual health care provider with primary practice located at 21844 23 Mile Rd , Macomb MI 48042-4422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ingraham, Trevor can be contacted via phone (586) 213-1492.

Contact Information

Primary practice address
21844 23 Mile Rd Macomb MI 48042-4422
Phone: (586) 213-1492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1770125577
LBN Legal business name Ingraham, Trevor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2019
Last updated Oct 13th, 2023 - about 2 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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