Trently, Mark

Trently, Mark is an individual health care provider with primary practice located at 1822 Jmulberry St , Scranton PA 18510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Trently, Mark can be contacted via phone (570) 346-7797.

Contact Information

Primary practice address
1822 Jmulberry St Scranton PA 18510
Phone: (570) 346-7797
Fax: (570) 342-9802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 051661 Pennsylvania

Profile Details

NPI number 1720058795
LBN Legal business name Trently, Mark
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Apr 2nd, 2008 - about 18 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 1720058795 NPPES
Pennsylvania MEDICAID 0076378100002

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