Thomas, Trent
Thomas, Trent is an individual health care provider with primary practice located at 1607 Martin Luther King Jr Dr , Greensboro NC 27406-2423. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Chore Provider, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Thomas, Trent can be contacted via phone (336) 965-7186.Contact Information
Primary practice address
1607 Martin Luther King Jr Dr
Greensboro NC 27406-2423
Phone: (336) 965-7186
Fax: (888) 821-5068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | ||
| Nursing Service Related Providers / Chore Provider | 372500000X | 430176 | North Carolina |
| Other Service Providers / Peer Specialist | 175T00000X | 2018-5019-01 | North Carolina |
Profile Details
| NPI number | 1811358864 |
|---|---|
| LBN Legal business name | Thomas, Trent |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2016 |
| Last updated | Jun 11th, 2019 - about 7 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 | 1811358864 | NPPES |
| North Carolina | Other | 2018-5019-01 | NCCPSS |
| North Carolina | MEDICAID | 246915141O | NCCPSS |
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