Provider Demographics
NPI:1497837827
Name:TRUMP, CARL ERNEST III (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:ERNEST
Last Name:TRUMP
Suffix:III
Gender:M
Credentials:MS, ATC
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Mailing Address - Street 1:1610 REBECCA CT
Mailing Address - Street 2:APT E
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2915
Mailing Address - Country:US
Mailing Address - Phone:410-583-0160
Mailing Address - Fax:410-583-0166
Practice Address - Street 1:6565 N CHARLES ST
Practice Address - Street 2:SUITE 606
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6800
Practice Address - Country:US
Practice Address - Phone:410-583-0160
Practice Address - Fax:410-583-0166
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer