Wentworth, Corinne Lee

Wentworth, Corinne Lee is an individual health care provider with primary practice located at 221 W Colorado Blvd Ste 525 , Dallas TX 75208-2312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wentworth, Corinne Lee can be contacted via phone (214) 960-5681.

Contact Information

Primary practice address
221 W Colorado Blvd Ste 525 Dallas TX 75208-2312
Phone: (214) 960-5681
Fax: (214) 960-5681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02769 Texas

Profile Details

NPI number 1851357321
LBN Legal business name Wentworth, Corinne Lee
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 27th, 2024 - about 9 months 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 1851357321 NPPES
Texas MEDICAID 104345702
Texas Other P01173046

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