Gregory Wayne Reneau in Roseburg - Sports Physician
Gregory Wayne Reneau - NPI 1649396631
Gregory Wayne Reneau is a Sports Physician in Roseburg, Oregon. Gregory Wayne Reneau practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gregory Wayne Reneau is 1649396631. The last update date is 2017-08-16.
Gregory Wayne Reneau's current location address is 1632 Nw Hughwood Ct, Roseburg, Oregon. You can contact this provider via phone number 5416779199 and fax number 5416724326. The mailing address for Gregory Wayne Reneau is 1632 Nw Hughwood Ct, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Wayne Reneau |
|---|---|
| Address | 1632 Nw Hughwood Ct, Roseburg, Oregon |
| Phone Number | 5416779199 |
| Fax Number | 5416724326 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1649396631 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2017-08-16 |
Provider Mailing Address Detail
| Address | 1632 Nw Hughwood Ct |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974718881 |
| Phone Number | 5416779199 |
| Fax Number | 5416724326 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 273422 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identifier code assigned to Gregory Wayne Reneau by the Centers for Medicare & Medicaid Services?
The Gregory Wayne Reneau has been issued the NPI (National Provider Identifier) 1649396631 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gregory Wayne Reneau is physically located?
The Gregory Wayne Reneau is physically situated at the following address: 1632 Nw Hughwood Ct, Roseburg, OR, 974718881.
What is Gregory Wayne Reneau's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory Wayne Reneau's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649396631 to Gregory Wayne Reneau?
The Centers for Medicare & Medicaid Services originally issued the 1649396631 to Gregory Wayne Reneau on 2007-03-21.
As of what date were the details related to Gregory Wayne Reneau most recently updated or revised?
The information pertaining to Gregory Wayne Reneau, including its address, specialty, and other relevant details, was last updated or revised on 2017-08-16.
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