MEDICARE: SONJA TRBOVICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	34600519	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467800946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJA TRBOVICH

Provider Business Mailing Address
First Line	:	2205 COMMERCE DR
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-8686
Country	:	US
Telephone Number	:	330-627-1900
Fax Number	:	330-627-1088

Provider Business Practice Location Address
First Line	:	2205 COMMERCE DRIVE NW
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-0185
Country	:	US
Telephone Number	:	330-627-1900
Fax Number	:	330-627-1088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	06/03/2026

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Directions to “ SONJA TRBOVICH ” Practice Location

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