Renaissance, Justice

Renaissance, Justice is an sole proprietor health care provider with primary practice located at 232 E Gish Rd , San Jose CA 95112-4706. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Renaissance, Justice can be contacted via phone (408) 379-3790.

Contact Information

Primary practice address
232 E Gish Rd San Jose CA 95112-4706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1992878326
LBN Legal business name Renaissance, Justice
Credentials MHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Apr 27th, 2023 - about last year

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 1992878326 NPPES
California Other COUNTY ID 3497

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