Rendina, Gary Watson

Rendina, Gary Watson is an individual health care provider with primary practice located at 136 Anthony Wayne Dr , Wayne PA 19087-1428. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rendina, Gary Watson can be contacted via phone (610) 964-0608.

Contact Information

Primary practice address
136 Anthony Wayne Dr Wayne PA 19087-1428
Phone: (610) 964-0608
Fax: (610) 964-2745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC002016L Pennsylvania

Profile Details

NPI number 1063520187
LBN Legal business name Rendina, Gary Watson
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Dec 28th, 2016 - about 10 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 1063520187 NPPES
Pennsylvania Other 000124594 HIGHMARK BLUE SHIELD
Pennsylvania Other 0032882000 HIGHMARK BLUE SHIELD

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