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
Phone: (501) 364-1100
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104916600 | NPPES |
Arkansas | MEDICAID | 125977001 |
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