Travis Merrell Trone I
Addiction Counselor (Substance Use Disorder)
628 Tracy Ter
Centralia
, Illinois 62801-4478
Travis Merrell Trone I
Addiction Counselor (Substance Use Disorder)
628 Tracy Ter
Centralia
, Illinois 62801-4478
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Travis Merrell Trone I
- 628 Tracy Ter
- Centralia, IL
- Zip : 62801-4478
- Phone :
Second Address
- Travis Merrell Trone I
- 628 Tracy Ter
- Centralia, IL
- Zip : 62801-4478
- Phone : (618) 533-2579
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What type of doctor is Travis Merrell Trone I
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Is Travis Merrell Trone I a sole practitioner?
Is Travis Merrell Trone I accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003037557 |
|---|---|
| Provider Name | Travis Merrell Trone I |
| First Address | Centralia, IL 62801-4478 |
| Second Address | Centralia, IL 62801-4478 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 08/07/2007 |
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.