When your listing changes let us know.
As a current Trust provider, keeping your listing current and accurate is vital for Trust members to locate you. Use this form to report any changes in your organization, practice, or practitioners:
- Organization or business name
- Tax ID
- Billing or other contact information
- Practitioners joining or leaving your organization
- Practitioner name, specialty or credentials
- Service locations
Return your completed update form via e-mail, fax, or mail to:
WEA Trust
P.O. Box 21538
Eagan, MN 55121-5038
Fax: (608) 276-9119
E-mail: providerupdates@neugenhealth.com