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Contact Information

TREVIS L TREVINO
1851 44TH ST SW STE A
WYOMING, MI49519-6440
 Phone: 616-538-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Nutritionist

133N00000X
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for TREVIS L TREVINO · (Male)

NPI Number 1285001842
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2015
Last updated 08/13/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 1849503021
  • CA License # TT37598187
  • MI License # 3019283855
  • MI License # T615802497876
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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