Birt, Renita Ann

Birt, Renita Ann is an sole proprietor health care provider with primary practice located at 656 Sterling Ct , Dekalb IL 60115-8279. She recently has 4 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Birt, Renita Ann can be contacted via phone (708) 972-3968.

Contact Information

Primary practice address
656 Sterling Ct Dekalb IL 60115-8279
Phone: (708) 972-3968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Homemaker 376J00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1942858881
LBN Legal business name Birt, Renita Ann
Credentials MS, QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2019
Last updated Jun 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942858881 NPPES
Illinois MEDICAID 474579189001

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