Renston, Jeffrey Paul

Renston, Jeffrey Paul is an sole proprietor health care provider with primary practice located at 1611 S Green Rd , South Euclid OH 44121-4136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Renston, Jeffrey Paul can be contacted via phone (216) 297-3168.

Contact Information

Primary practice address
1611 S Green Rd South Euclid OH 44121-4136
Phone: (216) 297-3168
Fax: (216) 297-3169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35055582 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35055582 Ohio

Profile Details

NPI number 1457347890
LBN Legal business name Renston, Jeffrey Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Jun 2nd, 2008 - about 16 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 1457347890 NPPES
Ohio MEDICAID 0882755

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