Trenshaw, Loretta Marie

Trenshaw, Loretta Marie is an individual health care provider with primary practice located at W7461 Ferdon Rd , New Lisbon WI 53950-9709. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Trenshaw, Loretta Marie can be contacted via phone (608) 562-5993.

Contact Information

Primary practice address
W7461 Ferdon Rd New Lisbon WI 53950-9709
Phone: (608) 562-5993
Fax: (608) 562-5993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1699757195
LBN Legal business name Trenshaw, Loretta Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1699757195 NPPES
Wisconsin MEDICAID 40004300

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