Individual
JENNIFER A RANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
708 MAIN ST STE 200, HELLERTOWN, PA 18055-1513
(610) 838-7069
(610) 838-7060
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD444623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135EU
BCBS PROVIDER NO.
NC
05
—
247617
—
OR
01
—
5485293
FH/CCN PROVIDER NO
NC
05
—
89135EU
—
NC
01
—
934870
PRONET
NC
01
—
P00108928
RRMC
NC
Enumeration date
06/09/2006
Last updated
07/14/2023
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