Rennick, Ronald Leslie

Rennick, Ronald Leslie is an sole proprietor health care provider with primary practice located at 1232 University Of Oregon , Eugene OR 97403-1232. He recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as his primary health care specialty. Rennick, Ronald Leslie can be contacted via phone (541) 346-0565.

Contact Information

Primary practice address
1232 University Of Oregon Eugene OR 97403-1232
Phone: (541) 346-0565
Fax: (541) 346-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X 10449 Oregon

Profile Details

NPI number 1114998309
LBN Legal business name Rennick, Ronald Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Dec 11th, 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 1114998309 NPPES
Oregon MEDICAID 217562
Oregon Other 930026495

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