Trunk, Christine J

Trunk, Christine J is an individual health care provider with primary practice located at 120 King St , Jacksonville FL 32204-2410. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Trunk, Christine J can be contacted via phone (904) 253-1287.

Contact Information

Primary practice address
120 King St Jacksonville FL 32204-2410
Phone: (904) 253-1287
Fax: (904) 253-1961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0022232 Texas
Dental Providers / Dentist 122300000X HAD44 Florida

Profile Details

NPI number 1295718104
LBN Legal business name Trunk, Christine J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Apr 26th, 2013 - about 13 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 1295718104 NPPES
Florida MEDICAID 0048867-00

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