Renner, Michael J
Renner, Michael J is an sole proprietor health care provider with primary practice located at 140 Osigian Blvd Bldg 300, Warner Robins GA 31088-7879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Renner, Michael J can be contacted via phone (478) 329-0291.Contact Information
Primary practice address
140 Osigian Blvd Bldg 300
Warner Robins GA 31088-7879
Phone: (478) 329-0291
Fax: (478) 333-3609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 038594 | Georgia |
Profile Details
| NPI number | 1386602662 |
|---|---|
| LBN Legal business name | Renner, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 25th, 2013 - about 11 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 | 1386602662 | NPPES |
| Georgia | MEDICAID | 080178726 | |
| Georgia | Other | GRP4178 | |
| Georgia | Other | 080178726 |
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