Renner, Christopher John

Renner, Christopher John is an individual health care provider with primary practice located at 5653 Columbia Pike Suite 101, Baileys Crossroads VA 22041-2872. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Renner, Christopher John can be contacted via phone (703) 578-3600.

Contact Information

Primary practice address
5653 Columbia Pike Suite 101 Baileys Crossroads VA 22041-2872
Phone: (703) 578-3600
Fax: (703) 379-6089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000112 Virginia

Profile Details

NPI number 1003868829
LBN Legal business name Renner, Christopher John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 21st, 2009 - about 17 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 1003868829 NPPES
Virginia MEDICAID VA009206531

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