Trotter, Thom

Trotter, Thom is an individual health care provider with primary practice located at 1555 Soquel Dr , Santa Cruz CA 95065-1705. 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. Trotter, Thom can be contacted via phone (831) 462-7730.

Contact Information

Primary practice address
1555 Soquel Dr Santa Cruz CA 95065-1705
Phone: (831) 462-7730
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15133 California

Profile Details

NPI number 1538223912
LBN Legal business name Trotter, Thom
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 4th, 2007 - about 19 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 1538223912 NPPES
California MEDICAID PA15133

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