Bajaj, Renu
Bajaj, Renu is an sole proprietor health care provider with primary practice located at 901 W Lincoln Ave , Charleston IL 61920-2413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bajaj, Renu can be contacted via phone (217) 345-3909.Contact Information
Primary practice address
901 W Lincoln Ave
Charleston IL 61920-2413
Phone: (217) 345-3909
Fax: (217) 345-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036053197 | Illinois |
Profile Details
| NPI number | 1700996568 |
|---|---|
| LBN Legal business name | Bajaj, Renu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 22nd, 2017 - about 7 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 | 1700996568 | NPPES |
| Illinois | MEDICAID | 036053197 |
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