Jacob E Trumbul I, ATC is a
Specialist/technologist - Athletic Trainer based in Winchester, Virginia. Jacob E Trumbul I is licensed to practice in Virginia (license number 0126003295) and his current practice location is
231 Woodberry Ln Apt 119, Winchester, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 987-0233.
NPI number for Jacob E Trumbul I is 1093335697 and his current mailing address is 43490 Yukon Dr Ste 212, Ashburn, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093335697.
Provider's Profile
Full Name | Jacob E Trumbul I |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 231 Woodberry Ln Apt 119, Winchester, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093335697
- Provider Enumeration Date: 04/23/2020
- Last Update Date: 07/05/2024
Medical Identifiers
Medical identifiers for Jacob E Trumbul I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093335697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 0126003295 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob E Trumbul I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacob E Trumbul I, ATC 43490 Yukon Dr Ste 212, Ashburn, VA 20147-7326 Ph: () - | Jacob E Trumbul I, ATC 231 Woodberry Ln Apt 119, Winchester, VA 22601-3592 Ph: (703) 987-0233 |
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