Belizaire, Renette
Belizaire, Renette is an individual health care provider with primary practice located at 9692 Pennsylvania Ave , Upper Marlboro MD 20772-3670. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Belizaire, Renette can be contacted via phone (301) 599-7300.Contact Information
Primary practice address
9692 Pennsylvania Ave
Upper Marlboro MD 20772-3670
Phone: (301) 599-7300
Fax: (301) 599-0476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0051975 | Maryland |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | D0051975 | Maryland |
Profile Details
| NPI number | 1295871309 |
|---|---|
| LBN Legal business name | Belizaire, Renette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jun 19th, 2012 - about 12 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 | 1295871309 | NPPES |
| Maryland | Other | 025800800 | PRACTICE MMA ID# |
| Maryland | MEDICAID | 669520500 | PRACTICE MMA ID# |
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