Rendina, Gary Watson
Rendina, Gary Watson is an individual health care provider with primary practice located at 136 Anthony Wayne Dr , Wayne PA 19087-1428. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rendina, Gary Watson can be contacted via phone (610) 964-0608.Contact Information
Primary practice address
136 Anthony Wayne Dr
Wayne PA 19087-1428
Phone: (610) 964-0608
Fax: (610) 964-2745
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | DC002016L | Pennsylvania |
Profile Details
NPI number | 1063520187 |
---|---|
LBN Legal business name | Rendina, Gary Watson |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2006 |
Last updated | Dec 28th, 2016 - about 8 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 | 1063520187 | NPPES |
Pennsylvania | Other | 000124594 | HIGHMARK BLUE SHIELD |
Pennsylvania | Other | 0032882000 | HIGHMARK BLUE SHIELD |
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