Mathur, Renee Jennifer
Mathur, Renee Jennifer is an sole proprietor health care provider with primary practice located at 913 Menoher Blvd , Johnstown PA 15905-2834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mathur, Renee Jennifer can be contacted via phone (814) 288-2669.Contact Information
Primary practice address
913 Menoher Blvd
Johnstown PA 15905-2834
Phone: (814) 288-2669
Fax: (814) 288-2667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD064636L | Pennsylvania |
Profile Details
| NPI number | 1376531970 |
|---|---|
| LBN Legal business name | Mathur, Renee Jennifer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2005 |
| Last updated | May 24th, 2013 - about 13 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 | 1376531970 | NPPES |
| Pennsylvania | MEDICAID | 0017037110008 |
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