Wentworth, Trisha Anne
Wentworth, Trisha Anne is an individual health care provider with primary practice located at 2130 Green Bay Rd # 2 , Evanston IL 60201-3026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as her primary health care specialty. Wentworth, Trisha Anne can be contacted via phone (847) 425-9708.Contact Information
Primary practice address
2130 Green Bay Rd # 2
Evanston IL 60201-3026
Phone: (847) 425-9708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist | 225A00000X | 16573 | Illinois |
Profile Details
| NPI number | 1417618240 |
|---|---|
| LBN Legal business name | Wentworth, Trisha Anne |
| Credentials | MT-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2022 |
| Last updated | Jan 4th, 2022 - about 2 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 | 1417618240 | NPPES |
| Illinois | Other | 473047364 | BLUE CROSS BLUE SHIELD |
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