Renfro, Rachelle Endrigan

Renfro, Rachelle Endrigan is an sole proprietor health care provider with primary practice located at 901 Ne Independence Ave , Lees Summit MO 64086-5544. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Renfro, Rachelle Endrigan can be contacted via phone (816) 581-5899.

Contact Information

Primary practice address
901 Ne Independence Ave Lees Summit MO 64086-5544
Fax: (816) 347-3046
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2010028206 Missouri

Profile Details

NPI number 1174052476
LBN Legal business name Renfro, Rachelle Endrigan
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2017
Last updated Jul 21st, 2022 - about 2 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 1174052476 NPPES
Missouri MEDICAID 1841235298

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