Mckenna, Trish
Mckenna, Trish is an sole proprietor health care provider with primary practice located at 13035 W Bluemound Rd Ste 100 , Brookfield WI 53005-8001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Mckenna, Trish can be contacted via phone (262) 244-0729.Contact Information
Primary practice address
13035 W Bluemound Rd Ste 100
Brookfield WI 53005-8001
Phone: (262) 244-0729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Wisconsin |
Profile Details
| NPI number | 1265190938 |
|---|---|
| LBN Legal business name | Mckenna, Trish |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2021 |
| Last updated | Nov 30th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265190938 | NPPES |
| Wisconsin | Other | 39020000X | 39020000X |
| Wisconsin | MEDICAID | 39020000X | 39020000X |
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