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
Fax: (253) 874-4228
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760476352 NPPES
Other 124708 LI

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