Renner, Richard J

Renner, Richard J is an individual health care provider with primary practice located at 390 Calle De Alegra , Las Cruces NM 88005-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Renner, Richard J can be contacted via phone (575) 556-8200.

Contact Information

Primary practice address
390 Calle De Alegra Las Cruces NM 88005-3280
Fax: (575) 556-8180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00026458 Washington

Profile Details

NPI number 1558407684
LBN Legal business name Renner, Richard J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 26th, 2016 - about 9 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 1558407684 NPPES
Washington MEDICAID 8114092

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