Provider Demographics
NPI:1114944907
Name:RENTZ, ERIC J (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:RENTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:112 LEACROFT WAY
Mailing Address - Street 2:ATTN: DR. RENTZ
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7757
Mailing Address - Country:US
Mailing Address - Phone:919-371-1481
Mailing Address - Fax:919-371-1481
Practice Address - Street 1:100 HONEY BEAR LN
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604-6802
Practice Address - Country:US
Practice Address - Phone:828-260-5073
Practice Address - Fax:828-898-2452
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9901001204D00000X
IA02184204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
BR0518829OtherDEA NUMBER
NC2401112Medicare ID - Type Unspecified
E32318Medicare UPIN