Renshaw, Bryan Ray
Renshaw, Bryan Ray is an individual health care provider with primary practice located at 4801 Fairway Ave , North Little Rock AR 72116-8009. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Renshaw, Bryan Ray can be contacted via phone (501) 758-1300.Contact Information
Primary practice address
4801 Fairway Ave
North Little Rock AR 72116-8009
Phone: (501) 758-1300
Fax: (501) 758-1316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 2221 | Arkansas |
Profile Details
| NPI number | 1346216116 |
|---|---|
| LBN Legal business name | Renshaw, Bryan Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Aug 22nd, 2011 - about 13 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 | 1346216116 | NPPES |
| Arkansas | MEDICAID | 155038742 | |
| Arkansas | Other | 5U797 | |
| Arkansas | Other | 5G468 | |
| Arkansas | Other | 5G239 |
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