Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 517 | CT |
Y | 111NR0400X | Rehabilitation Chiropractor | 4131 | SC |
NPI | 1235259219 |
---|---|
Provider Name | Dr. William P. Trebing |
First Address | Mount Pleasant, SC 29466-7523 |
Second Address | Mount Pleasant, SC 29466-7523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2007 |
Last Update Date | 09/12/2016 |