Renner, Julie A

Renner, Julie A is an individual health care provider with primary practice located at 2750 Newark Granville Rd , Granville OH 43023-9142. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Renner, Julie A can be contacted via phone (740) 788-9220.

Contact Information

Primary practice address
2750 Newark Granville Rd Granville OH 43023-9142
Phone: (740) 788-9220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 003549 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.003549RX Ohio

Profile Details

NPI number 1780931477
LBN Legal business name Renner, Julie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Apr 7th, 2023 - about 3 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 1780931477 NPPES
Ohio MEDICAID 0080804

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