Doctor Name: | DR. ERIC J RENTZ |
NPI Number: | 1114944907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 02184 |
Business Practice Address: | 100 Honey Bear Ln Banner Elk, NC - 286046802 |
Business Phone Number: | 8282605073 |
Business Fax Number: | 8288982452 |
Mailing Address: | 112 Leacroft Way, Attn: Dr. Rentz MORRISVILLE |
State: | NC |
Postal Code: | 275607757 |
Phone Number: | 9193711481 |
Fax Number: | 9193711481 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 10/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 02184 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |