Wrenn, Romel C

Wrenn, Romel C is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Wrenn, Romel C can be contacted via phone (907) 458-6450.

Contact Information

Primary practice address
1650 Cowles St Fairbanks AK 99701
Phone: (907) 458-6450
Fax: (907) 458-6430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 014701 Louisiana

Profile Details

NPI number 1255302717
LBN Legal business name Wrenn, Romel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 14th, 2012 - about 12 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 1255302717 NPPES
Louisiana MEDICAID 1366269
Louisiana Other 060067787

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