National Provider Identifier Database

TRINITY MEDICAL CLINIC LLC
Family


Contact Information

TRINITY MEDICAL CLINIC, LLC
832 MULBERRY AVE
SELMER, TN38375-2334
Phone: 731-434-0200
Fax: 731-434-0203
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for TRINITY MEDICAL CLINIC, LLC

NPI Number 1013156629
Legal business name
LBN
TRINITY MEDICAL CLINIC, LLC
Authorized official RHONDA HUNT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/05/2009
Last updated 06/19/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: APN0000007669
  • TN Other: 3341736 MEDICARE PTAN

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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