Burnett, Wendy Leigh

Burnett, Wendy Leigh is an individual health care provider with primary practice located at 121 Cox St , Benton AR 72015-4611. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Burnett, Wendy Leigh can be contacted via phone (501) 351-2192.

Contact Information

Primary practice address
121 Cox St Benton AR 72015-4611
Fax:
Website:

Health care specialties

Profile Details

NPI number 1609836980
LBN Legal business name Burnett, Wendy Leigh
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 10th, 2014 - about 12 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 1609836980 NPPES
Arkansas Other 5U879 BCBS
Arkansas MEDICAID 137072721 BCBS

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