Fajardo, Renato Verano
Fajardo, Renato Verano is an individual health care provider with primary practice located at 34616 11Th Pl S #3, Federal Way WA 98003-8705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fajardo, Renato Verano can be contacted via phone (253) 874-5148.Contact Information
Primary practice address
34616 11Th Pl S #3
Federal Way WA 98003-8705
Phone: (253) 874-5148
Fax: (253) 874-4228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30962 | Washington |
Profile Details
NPI number | 1760476352 |
---|---|
LBN Legal business name | Fajardo, Renato Verano |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Apr 11th, 2014 - about 11 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 | 1760476352 | NPPES |
Other | 124708 | LI |
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