Deweese, Renee Raimondi

Deweese, Renee Raimondi is an individual health care provider with primary practice located at Summit Crossing Place Ste 106, Gastonia NC 28054. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Deweese, Renee Raimondi can be contacted via phone (704) 867-8021.

Contact Information

Primary practice address
Summit Crossing Place Ste 106 Gastonia NC 28054
Phone: (704) 867-8021
Fax: (704) 864-4606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 200000394 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200000394 North Carolina

Profile Details

NPI number 1023096781
LBN Legal business name Deweese, Renee Raimondi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023096781 NPPES
Other 7543124 AETNA PPO
MEDICAID 89126JU AETNA PPO
Other 1643188 AETNA PPO
Other 2353072 AETNA PPO
Other 300110411 AETNA PPO
Other 126JU AETNA PPO
Other 37295 AETNA PPO
Other 97384 AETNA PPO

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