Renner, Carl Joseph
Renner, Carl Joseph is an individual health care provider with primary practice located at 288 Boulevard Ste 2 , Hasbrouck Heights NJ 07604-1319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Renner, Carl Joseph can be contacted via phone (201) 288-6781.Contact Information
Primary practice address
288 Boulevard Ste 2
Hasbrouck Heights NJ 07604-1319
Phone: (201) 288-6781
Fax: (201) 288-2734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03936900 | New Jersey |
Profile Details
NPI number | 1346205705 |
---|---|
LBN Legal business name | Renner, Carl Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2006 |
Last updated | May 14th, 2019 - about 6 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 | 1346205705 | NPPES |
New Jersey | MEDICAID | 1570501 |
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