Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN CHRISTOPHER RENNICKE, MD
Active Sole ProprietorDR. JORDAN CHRISTOPHER RENNICKE, MD is a Sports Medicine healthcare provider located in TRAVIS AFB, California. NPI 1407343767 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1407343767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2018 (8.2714680330818 yrs)
- Last Updated
- May 21, 2024
- Licenses
-
32087 (NE)32087 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BODIN CIRTRAVIS AFB, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 7074233057
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT RIISE | M.D. | 1770570723 |
| DR. CARLTON JAMES COVEY | M.D. | 1629265020 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.