Barge, Renita B

Barge, Renita B is an individual health care provider with primary practice located at 7815 E Jefferson Ave 3A, Detroit MI 48214-3704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Barge, Renita B can be contacted via phone (313) 499-4170.

Contact Information

Primary practice address
7815 E Jefferson Ave 3A Detroit MI 48214-3704
Phone: (313) 499-4170
Fax: (313) 499-4911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301073513 Michigan

Profile Details

NPI number 1720075898
LBN Legal business name Barge, Renita B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 13th, 2007 - about 17 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 1720075898 NPPES
Michigan MEDICAID 4106607

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