Reid-Renner, Karen L

Reid-Renner, Karen L is an sole proprietor health care provider with primary practice located at 1403 E Atwater Ave , Bloomington IN 47401-3707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Reid-Renner, Karen L can be contacted via phone (812) 339-6744.

Contact Information

Primary practice address
1403 E Atwater Ave Bloomington IN 47401-3707
Fax: (812) 287-8223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01055670A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01055670A Indiana

Profile Details

NPI number 1053375295
LBN Legal business name Reid-Renner, Karen L
Credentials MD MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Mar 17th, 2018 - 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 1053375295 NPPES
Indiana Other 000000217697 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200367600A ANTHEM PROVIDER NUMBER
Indiana Other 6088398 ANTHEM PROVIDER NUMBER

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