Individual
TREVOR LAWRENCE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, DIVISION OF CARDIOVASCULAR MEDICINE LKS 5038, CLEVELAND, OH 44106-1716
(216) 844-7696
(216) 844-8954
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.093500
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066175
—
OH
01
—
BP1-0026144
INSTITUTIONAL PERMIT
—
Enumeration date
05/21/2007
Last updated
12/30/2020
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