Blackwood, Trina Nicole
Blackwood, Trina Nicole is an individual health care provider with primary practice located at 101 Chapel Grove Ct , Wentzville MO 63385-4339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Blackwood, Trina Nicole can be contacted via phone (636) 443-5379.Contact Information
Primary practice address
101 Chapel Grove Ct
Wentzville MO 63385-4339
Phone: (636) 443-5379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2011022964 | Missouri |
Profile Details
| NPI number | 1760746648 |
|---|---|
| LBN Legal business name | Blackwood, Trina Nicole |
| Credentials | MOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Dec 19th, 2022 - about 3 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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