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Contact Information

JEFFREY S TRIMBLE, PA-C
1200 6TH AVE N
CENTRA CARE CLINIC
SAINT CLOUD, MN56303-2735
 Phone: 320-656-7020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEFFREY S TRIMBLE · (Male)

NPI Number 1770509663
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/14/2006
Last updated 03/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9283
  • MN License # MN9283
  • MN Medicaid 856010200
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
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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