Raine-Bennett, Tina Renee

Raine-Bennett, Tina Renee is an individual health care provider with primary practice located at 280 W Macarthur Blvd , Oakland CA 94611-5642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Raine-Bennett, Tina Renee can be contacted via phone (510) 752-1100.

Contact Information

Primary practice address
280 W Macarthur Blvd Oakland CA 94611-5642
Phone: (510) 752-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G84337 California

Profile Details

NPI number 1477507911
LBN Legal business name Raine-Bennett, Tina Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 26th, 2022 - about 2 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 1477507911 NPPES
California MEDICAID 00G843370

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