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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1184794729 | NPPES |
Illinois | Other | 0051-040065 | PHARMACIST |
Illinois | Other | 13297-040 | PHARMACIST |
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