Quijano, Rennan M

Quijano, Rennan M is an individual health care provider with primary practice located at 550 Hospital Dr , Madisonville KY 42431-1652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Quijano, Rennan M can be contacted via phone (270) 824-9898.

Contact Information

Primary practice address
550 Hospital Dr Madisonville KY 42431-1652
Phone: (270) 824-9898
Fax: (270) 824-9185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29115 Kentucky

Profile Details

NPI number 1497711543
LBN Legal business name Quijano, Rennan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
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 1497711543 NPPES
Other 000000108208 BLUE CROSS BLUE SHIELD
MEDICAID 64291156 BLUE CROSS BLUE SHIELD

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