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NPI Code Detail

MEDICARE: EDWARD TROUTMAN LPN

MEDICARE: EDWARD TROUTMAN LPN
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
1164W00000XLicensed Practical NurseLPN.077475.MEDSOH

Other Identifiers

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

General Provider Information

NPI Number : 1275063646
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD TROUTMAN LPN
Provider Business Mailing Address
First Line : PO BOX 20068
Second Line :
City : TOLEDO
State : OH
Zip : 43610-0068
Country : US
Telephone Number : 419-531-5544
Fax Number :
Provider Business Practice Location Address
First Line : 5301 NEBRASKA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43615-4632
Country : US
Telephone Number : 419-531-5544
Fax Number : 419-531-5117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 06/18/2017

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Directions to “ EDWARD TROUTMAN LPN” Practice Location

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