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Contact Information

TRINA G EBERSOLE, MD
4921 PARKVIEW PL
DIV SURG PLASTICS, STE 6G
SAINT LOUIS, MO63110-1032
 Phone: 314-362-7388
 Fax: 833-301-0853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TRINA G EBERSOLE · (Female)

NPI Number 1902289762
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2015
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2022033462
  • MO Medicaid 200061848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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