Rettig, Kenneth R.

Rettig, Kenneth R. is an individual health care provider with primary practice located at 1601 Center Street Ste 1S, Mobile AL 36604-3207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Rettig, Kenneth R. can be contacted via phone (251) 410-5437.

Contact Information

Primary practice address
1601 Center Street Ste 1S Mobile AL 36604-3207
Phone: (251) 410-5437
Fax: (251) 434-3852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 9210 Alabama

Profile Details

NPI number 1861431587
LBN Legal business name Rettig, Kenneth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 2nd, 2017 - about 7 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 1861431587 NPPES
Florida MEDICAID 255656100
Florida Other 33-10016
Florida MEDICAID 1722634
Florida MEDICAID 000015487
Florida MEDICAID 00015345
Florida Other 51015487

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