Rennicke, Jordan Christopher

Rennicke, Jordan Christopher is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rennicke, Jordan Christopher can be contacted via phone (707) 423-3057.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-3057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32087 Nebraska
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 32087 Nebraska

Profile Details

NPI number 1407343767
LBN Legal business name Rennicke, Jordan Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2018
Last updated May 21st, 2024 - about 4 months 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.

Request for update

Popular Providers