Rentiers, Paul Kenneth
Rentiers, Paul Kenneth is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rentiers, Paul Kenneth can be contacted via phone (386) 755-3016.Contact Information
Primary practice address
619 S Marion Ave
Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E9944 | Texas |
Profile Details
| NPI number | 1013924737 |
|---|---|
| LBN Legal business name | Rentiers, Paul Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | May 8th, 2014 - about 11 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 | 1013924737 | NPPES |
| Texas | MEDICAID | 084632101 |
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