Renner, Debra R

Renner, Debra R is an individual health care provider with primary practice located at 1400 Forum Blvd , Columbia MO 65203-1997. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Renner, Debra R can be contacted via phone (573) 446-0331.

Contact Information

Primary practice address
1400 Forum Blvd Columbia MO 65203-1997
Phone: (573) 446-0331
Fax: (573) 446-6991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003068 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 2008032353 Missouri

Profile Details

NPI number 1013072966
LBN Legal business name Renner, Debra R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 17th, 2011 - about 14 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 1013072966 NPPES
Missouri Other 1013072966 INDIVIDUAL NPI
Missouri Other 1962644732 INDIVIDUAL NPI
Missouri MEDICAID 1013072966 INDIVIDUAL NPI

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