Provider Demographics
NPI:1982349593
Name:TRUSTYHEALTH PC
Entity Type:Organization
Organization Name:TRUSTYHEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:IFEYINWA
Authorized Official - Last Name:ONYENSOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-388-8422
Mailing Address - Street 1:2372 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:MC KENZIE
Mailing Address - State:TN
Mailing Address - Zip Code:38201-2218
Mailing Address - Country:US
Mailing Address - Phone:731-388-8422
Mailing Address - Fax:
Practice Address - Street 1:2384 CEDAR ST
Practice Address - Street 2:
Practice Address - City:MC KENZIE
Practice Address - State:TN
Practice Address - Zip Code:38201-2218
Practice Address - Country:US
Practice Address - Phone:731-388-8422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty