Renken, Diana Christine

Renken, Diana Christine is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code 2433, Madison WI 53792-0001. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Renken, Diana Christine can be contacted via phone (608) 662-0817.

Contact Information

Primary practice address
600 Highland Ave Compliance Mail Code 2433 Madison WI 53792-0001
Phone: (608) 662-0817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13297-040 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 0051-040065 Illinois
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 13297-040 Wisconsin

Profile Details

NPI number 1184794729
LBN Legal business name Renken, Diana Christine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
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 1184794729 NPPES
Illinois Other 0051-040065 PHARMACIST
Illinois Other 13297-040 PHARMACIST

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