Moreno, Wendy Rochelle
Moreno, Wendy Rochelle is an individual health care provider with primary practice located at 235 Wealthy St Se , Grand Rapids MI 49503-5247. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Moreno, Wendy Rochelle can be contacted via phone (616) 840-8000.Contact Information
Primary practice address
235 Wealthy St Se
Grand Rapids MI 49503-5247
Phone: (616) 840-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 5202003651 | Michigan |
Profile Details
| NPI number | 1871097881 |
|---|---|
| LBN Legal business name | Moreno, Wendy Rochelle |
| Credentials | COTAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2018 |
| Last updated | Mar 23rd, 2018 - about 8 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 | 1871097881 | NPPES |
| Michigan | MEDICAID | 1285019802 | |
| Michigan | MEDICAID | 1568554566 |
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