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
Phone: (816) 581-5899
Fax: (816) 347-3046
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174052476 | NPPES |
Missouri | MEDICAID | 1841235298 |
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