Patton, Trever L
Patton, Trever L is an sole proprietor health care provider with primary practice located at 7807 E Funston St , Wichita KS 67207-3123. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Patton, Trever L can be contacted via phone (316) 636-1188.Contact Information
Primary practice address
7807 E Funston St
Wichita KS 67207-3123
Phone: (316) 636-1188
Fax: (316) 636-1190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1234 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202376 | Idaho |
Profile Details
| NPI number | 1013952134 |
|---|---|
| LBN Legal business name | Patton, Trever L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Feb 12th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013952134 | NPPES |
| Idaho | Other | 16849372 | MEDICARE GROUP PIN |
| Idaho | Other | N6300 | MEDICARE GROUP PIN |
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