Reneker, Robert E

Reneker, Robert E is an individual health care provider with primary practice located at 2373 64Th St Sw Ste 1200, Byron Center MI 49315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reneker, Robert E can be contacted via phone (616) 685-3910.

Contact Information

Primary practice address
2373 64Th St Sw Ste 1200 Byron Center MI 49315
Phone: (616) 685-3910
Fax: (616) 685-3923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RR063893 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301063893 Michigan

Profile Details

NPI number 1972529014
LBN Legal business name Reneker, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 6th, 2012 - about 13 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 1972529014 NPPES
Michigan Other P61260 BCN
Michigan MEDICAID 4445844 BCN
Michigan Other 080D16151 BCN

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