Rennert, Douglas
Rennert, Douglas is an individual health care provider with primary practice located at 19455 Deerfield Ave Suite 206, Leesburg VA 20176-8100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Rennert, Douglas can be contacted via phone (703) 858-9608.Contact Information
Primary practice address
19455 Deerfield Ave Suite 206
Leesburg VA 20176-8100
Phone: (703) 858-9608
Fax: (702) 858-9618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101043761 | Virginia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 0101043761 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101043761 | Virginia |
Profile Details
| NPI number | 1992796502 |
|---|---|
| LBN Legal business name | Rennert, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 10th, 2023 - about last year |
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 | 1992796502 | NPPES |
| Virginia | MEDICAID | 5854466 | |
| Virginia | Other | A6950002 |
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