Trentadue, Emily Jean

Trentadue, Emily Jean is an individual health care provider with primary practice located at 500 W Drexel Ave Ste 300 , Oak Creek WI 53154-2060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Trentadue, Emily Jean can be contacted via phone (414) 771-6780.

Contact Information

Primary practice address
500 W Drexel Ave Ste 300 Oak Creek WI 53154-2060
Phone: (414) 771-6780
Fax: (414) 238-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2037-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2037-023 Wisconsin

Profile Details

NPI number 1942218102
LBN Legal business name Trentadue, Emily Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 14th, 2019 - about 6 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 1942218102 NPPES
Wisconsin MEDICAID 42888500

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