Rendleman, George Fraklin

Rendleman, George Fraklin is an individual health care provider with primary practice located at 12723 Topping Acres , St Louis MO 63131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rendleman, George Fraklin can be contacted via phone (314) 966-6799.

Contact Information

Primary practice address
12723 Topping Acres St Louis MO 63131
Phone: (314) 966-6799
Fax: (314) 966-6799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27052 Missouri

Profile Details

NPI number 1275753923
LBN Legal business name Rendleman, George Fraklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1275753923 NPPES
Missouri MEDICAID 200C4301

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