Trentham, Mary A.

Trentham, Mary A. is an sole proprietor health care provider with primary practice located at 138 Brighton Ter , Hot Springs AR 71913-7144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Trentham, Mary A. can be contacted via phone (501) 786-8696.

Contact Information

Primary practice address
138 Brighton Ter Hot Springs AR 71913-7144
Phone: (501) 786-8696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A01494 Arkansas

Profile Details

NPI number 1770673246
LBN Legal business name Trentham, Mary A.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Nov 23rd, 2009 - about 15 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 1770673246 NPPES
Arkansas MEDICAID 150741758
Arkansas Other 500017629

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