Renaldo, Donald Philip

Renaldo, Donald Philip is an individual health care provider with primary practice located at 1718 E 4Th St Ste. 908, Charlotte NC 28204-3260. He recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as his primary health care specialty. Renaldo, Donald Philip can be contacted via phone (704) 376-5424.

Contact Information

Primary practice address
1718 E 4Th St Ste. 908 Charlotte NC 28204-3260
Phone: (704) 376-5424
Fax: (704) 376-5354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 23322 North Carolina

Profile Details

NPI number 1528021359
LBN Legal business name Renaldo, Donald Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Dec 4th, 2012 - about 14 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 1528021359 NPPES
North Carolina MEDICAID 8971240

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