Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TREVOR E CARLSON
Active
Individual
TREVOR E CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT38366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38366
LICENSE
CA
01
—
CH2219
RR MEDICARE #
CA
Enumeration date
11/02/2011
Last updated
04/19/2013
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