Renaissance Medical Spa, Llc in Seymour - Primary Care
Renaissance Medical Spa, Llc - NPI 1043357726
Renaissance Medical Spa, Llc is a Primary Care in Seymour, Indiana. Renaissance Medical Spa, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Renaissance Medical Spa, Llc is 1043357726. The last update date is 2020-08-22.
Renaissance Medical Spa, Llc's current location address is 1414 E Tipton St, Seymour, Indiana. You can contact this provider via phone number 8125249222 and fax number 8125249777. The mailing address for Renaissance Medical Spa, Llc is 1414 E Tipton St, Seymour, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renaissance Medical Spa, Llc |
|---|---|
| Address | 1414 E Tipton St, Seymour, Indiana |
| Phone Number | 8125249222 |
| Fax Number | 8125249777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Snook Palmer John |
| Credentials | M.D. |
| Telephone Number | 8125249222 |
NPI Number Detail
| NPI Number | 1043357726 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1414 E Tipton St |
|---|---|
| City | Seymour |
| State | Indiana (IN) |
| Post Code | 472743533 |
| Phone Number | 8125249222 |
| Fax Number | 8125249777 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 1047137 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67386 | IN | SIHO | |
| 352813 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Renaissance Medical Spa, Llc?
The Renaissance Medical Spa, Llc has been issued the NPI (National Provider Identifier) 1043357726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Renaissance Medical Spa, Llc?
The Renaissance Medical Spa, Llc is physically situated at 1414 E Tipton St, in the city of Seymour, state of IN, with the postal code 472743533.
What is Renaissance Medical Spa, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Renaissance Medical Spa, Llc's specialized field of practice is Primary Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2300X.
On what date did the Renaissance Medical Spa, Llc receive its 1043357726 assignment from the Centers for Medicare & Medicaid Services?
The Renaissance Medical Spa, Llc was assigned its 1043357726 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the details related to Renaissance Medical Spa, Llc most recently updated or revised?
The information pertaining to Renaissance Medical Spa, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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