Mr. Trevis Lee Trevino
Sports Medicine
915 Fairmount St Se
Grand Rapids
, Michigan 49506-1555
Mr. Trevis Lee Trevino
Sports Medicine
915 Fairmount St Se
Grand Rapids
, Michigan 49506-1555
(616) 432-1444
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mr. Trevis Lee Trevino
- 915 Fairmount St Se
- Grand Rapids, MI
- Zip : 49506-1555
- Phone : (616) 432-1444
Second Address
- Mr. Trevis Lee Trevino
- 915 Fairmount St Se
- Grand Rapids, MI
- Zip : 49506-1555
- Phone : (616) 432-1444
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In what state does Mr. Trevis Lee Trevino practice in?
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Is Mr. Trevis Lee Trevino a sole practitioner?
Is Mr. Trevis Lee Trevino accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081S0010X | Sports Medicine | T615802497876 | MI |
| N | 213ES0000X | Sports Medicine | T615802497876 | MI |
National Provider Identifier
| NPI | 1285001842 |
|---|---|
| Provider Name | Mr. Trevis Lee Trevino |
| First Address | Grand Rapids, MI 49506-1555 |
| Second Address | Grand Rapids, MI 49506-1555 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2015 |
| Last Update Date | 25/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.