Mahaffey, Renette Elizabeth

Mahaffey, Renette Elizabeth is an individual health care provider with primary practice located at 631 Beacon Pkwy W Ste 110 , Birmingham AL 35209-3130. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mahaffey, Renette Elizabeth can be contacted via phone (205) 945-4859.

Contact Information

Primary practice address
631 Beacon Pkwy W Ste 110 Birmingham AL 35209-3130
Phone: (205) 945-4859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PTH2006 Alabama

Profile Details

NPI number 1538217609
LBN Legal business name Mahaffey, Renette Elizabeth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1538217609 NPPES
Alabama Other PTH2006 PHYSICAL THERAPY LICENSE

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