MEDICARE: JANICE TRENT AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	01061	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043215064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE TRENT AU.D.

Provider Business Mailing Address
First Line	:	10111 MARTIN LUTHER KING JR HWY
Second Line	:	STE 102
City	:	BOWIE
State	:	MD
Zip	:	20720-4223
Country	:	US
Telephone Number	:	301-429-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	10111 MARTIN LUTHER KING JR HWY
Second Line	:	STE 102
City	:	BOWIE
State	:	MD
Zip	:	20720-4223
Country	:	US
Telephone Number	:	301-429-2920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/31/2010

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