Rennick, John H

Rennick, John H is an individual health care provider with primary practice located at 3156 State St , Medford OR 97504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rennick, John H can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
3156 State St Medford OR 97504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E8135 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD190613 Oregon

Profile Details

NPI number 1023070034
LBN Legal business name Rennick, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Mar 21st, 2019 - about 5 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 1023070034 NPPES
Oregon MEDICAID 500755439

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