Jarrell, Renaldo Andrew
Jarrell, Renaldo Andrew is an sole proprietor health care provider with primary practice located at 601 N Elm St , High Point NC 27262-4331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jarrell, Renaldo Andrew can be contacted via phone (336) 878-6419.Contact Information
Primary practice address
601 N Elm St
High Point NC 27262-4331
Phone: (336) 878-6419
Fax: (336) 878-6420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 200500953 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200500953 | North Carolina |
Profile Details
| NPI number | 1821160722 |
|---|---|
| LBN Legal business name | Jarrell, Renaldo Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 4th, 2021 - about 3 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 | 1821160722 | NPPES |
| North Carolina | MEDICAID | 5901237 |
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