Renfrow, Miranda Kirstin

Renfrow, Miranda Kirstin is an sole proprietor health care provider with primary practice located at 1290 Hospital Dr Ste 5 , Saint Johnsbury VT 05819-9205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Renfrow, Miranda Kirstin can be contacted via phone (802) 748-8126.

Contact Information

Primary practice address
1290 Hospital Dr Ste 5 Saint Johnsbury VT 05819-9205
Phone: (802) 748-8126
Fax: (802) 748-2208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4949 Oklahoma
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 032-0129313 Vermont

Profile Details

NPI number 1598915332
LBN Legal business name Renfrow, Miranda Kirstin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2008
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 1598915332 NPPES
Oklahoma MEDICAID 200307490A
Oklahoma Other OKA102503

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