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Contact Information

DEBRA R RENNER, OD
1400 FORUM BLVD
COLUMBIA, MO65203-1997
 Phone: 573-446-0331
 Fax: 573-446-6991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DEBRA R RENNER · (Female)

NPI # 1013072966
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/22/2006
Last updated 08/17/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 18003068
  • MO License # 2008032353
  • MO Medicaid 1013072966
  • MO Other 1962644732 GROUP NPI
  • MO Other 1013072966 INDIVIDUAL NPI
  • MO Other 431876478 PAIGE HEDGPATH O.D,P.C. EIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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