Warden, Trina Rena

Warden, Trina Rena is an individual health care provider with primary practice located at 1256 Campbell Ln Suite 106, Bowling Green KY 42104-1082. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Warden, Trina Rena can be contacted via phone (270) 796-6021.

Contact Information

Primary practice address
1256 Campbell Ln Suite 106 Bowling Green KY 42104-1082
Phone: (270) 796-6021
Fax: (270) 796-6072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1396DT Kentucky

Profile Details

NPI number 1083768261
LBN Legal business name Warden, Trina Rena
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated May 2nd, 2017 - about 9 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 1083768261 NPPES
Kentucky Other P00312093 RAILROAD MEDICARE
Kentucky MEDICAID 77013969 RAILROAD MEDICARE

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