Osterdock, Renatta J

Osterdock, Renatta J is an sole proprietor health care provider with primary practice located at 1601 E 19Th Ave Ste 4600 , Denver CO 80218-1289. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Osterdock, Renatta J can be contacted via phone (303) 832-2449.

Contact Information

Primary practice address
1601 E 19Th Ave Ste 4600 Denver CO 80218-1289
Fax: (303) 832-3832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 46246 Colorado

Profile Details

NPI number 1982630588
LBN Legal business name Osterdock, Renatta J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Jul 10th, 2017 - about 7 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 1982630588 NPPES
California MEDICAID 00A772480

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