Bornemeier, Renee

Bornemeier, Renee is an individual health care provider with primary practice located at 1 Childrens Way # 512-3 , Little Rock AR 72202-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Bornemeier, Renee can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childrens Way # 512-3 Little Rock AR 72202-3500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X C-7449 Arkansas

Profile Details

NPI number 1104916600
LBN Legal business name Bornemeier, Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 20th, 2010 - about 14 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 1104916600 NPPES
Arkansas MEDICAID 125977001

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