Provider Demographics
NPI:1518106145
Name:W R TRIMMER MD LTD
Entity Type:Organization
Organization Name:W R TRIMMER MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-348-8555
Mailing Address - Street 1:343 ELM ST STE 204
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4538
Mailing Address - Country:US
Mailing Address - Phone:775-348-8555
Mailing Address - Fax:775-348-6479
Practice Address - Street 1:343 ELM ST STE 204
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4538
Practice Address - Country:US
Practice Address - Phone:775-348-8555
Practice Address - Fax:775-348-6479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4778174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016714Medicaid
NV002016714Medicaid