Renston, Jeffrey Paul
Renston, Jeffrey Paul is an sole proprietor health care provider with primary practice located at 1611 S Green Rd , South Euclid OH 44121-4136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Renston, Jeffrey Paul can be contacted via phone (216) 297-3168.Contact Information
Primary practice address
1611 S Green Rd
South Euclid OH 44121-4136
Phone: (216) 297-3168
Fax: (216) 297-3169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35055582 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35055582 | Ohio |
Profile Details
| NPI number | 1457347890 |
|---|---|
| LBN Legal business name | Renston, Jeffrey Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jun 2nd, 2008 - about 18 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 | 1457347890 | NPPES |
| Ohio | MEDICAID | 0882755 |
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