Renfrow, Miranda Kirstin
Renfrow, Miranda Kirstin is an sole proprietor health care provider with primary practice located at 1290 Hospital Dr Ste 5 , Saint Johnsbury VT 05819-9205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Renfrow, Miranda Kirstin can be contacted via phone (802) 748-8126.Contact Information
Primary practice address
1290 Hospital Dr Ste 5
Saint Johnsbury VT 05819-9205
Phone: (802) 748-8126
Fax: (802) 748-2208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4949 | Oklahoma |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 032-0129313 | Vermont |
Profile Details
| NPI number | 1598915332 |
|---|---|
| LBN Legal business name | Renfrow, Miranda Kirstin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1598915332 | NPPES |
| Oklahoma | MEDICAID | 200307490A | |
| Oklahoma | Other | OKA102503 |
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