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NPI Code Detail

MEDICARE: TREVOR BUSLER

MEDICARE: TREVOR BUSLER
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerOH

General Provider Information

NPI Number : 1942943683
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREVOR BUSLER
Provider Business Mailing Address
First Line : 7232 JUSTIN WAY
Second Line :
City : MENTOR
State : OH
Zip : 44060-4881
Country : US
Telephone Number : 440-578-8200
Fax Number :
Provider Business Practice Location Address
First Line : 7232 JUSTIN WAY
Second Line :
City : MENTOR
State : OH
Zip : 44060-4881
Country : US
Telephone Number : 440-578-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2022
Last Update Date : 04/21/2026

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Directions to “ TREVOR BUSLER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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