Renz, Nicholas Robert

Renz, Nicholas Robert is an individual health care provider with primary practice located at 400 S Kingshighway Blvd Dept Emergency Med, Saint Louis MO 63110-1014. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Renz, Nicholas Robert can be contacted via phone (314) 362-9123.

Contact Information

Primary practice address
400 S Kingshighway Blvd Dept Emergency Med Saint Louis MO 63110-1014
Phone: (314) 362-9123
Fax: (314) 747-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2012008460 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2012008460 Missouri

Profile Details

NPI number 1285884528
LBN Legal business name Renz, Nicholas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Apr 25th, 2024 - about last year

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 1285884528 NPPES
Missouri MEDICAID 209836204

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