Provider Demographics
NPI:1881878569
Name:TRIMAS FAMILY CARE PLLC
Entity type:Organization
Organization Name:TRIMAS FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:TRIMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-787-8015
Mailing Address - Street 1:PO BOX 6007
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49204-6007
Mailing Address - Country:US
Mailing Address - Phone:517-787-8015
Mailing Address - Fax:517-787-5520
Practice Address - Street 1:3165 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-4101
Practice Address - Country:US
Practice Address - Phone:517-787-8015
Practice Address - Fax:517-787-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080C812140OtherBCBS
MI0853800284OtherBCBS
MI4577084Medicaid
MIP64231OtherBCN
MI0N59420Medicare UPIN