Wert, Renee Carol

Wert, Renee Carol is an individual health care provider with primary practice located at 406 Linwood Ave , Buffalo NY 14209-1629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wert, Renee Carol can be contacted via phone (716) 886-7304.

Contact Information

Primary practice address
406 Linwood Ave Buffalo NY 14209-1629
Phone: (716) 886-7304
Fax: (716) 886-7398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009069-1 New York

Profile Details

NPI number 1336114933
LBN Legal business name Wert, Renee Carol
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1336114933 NPPES
New York Other 000510428003 BLUE CROSS WNY
New York Other S09069-6B BLUE CROSS WNY
New York MEDICAID 01572187 BLUE CROSS WNY
New York Other 6108298 BLUE CROSS WNY
New York Other 00020217101 BLUE CROSS WNY
New York Other 0003456 BLUE CROSS WNY

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