Agolia, Randy
Agolia, Randy is an individual health care provider with primary practice located at 20 Progress Point Pkwy Ste 22, O Fallon MO 63368-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Agolia, Randy can be contacted via phone (636) 344-3333.Contact Information
Primary practice address
20 Progress Point Pkwy Ste 22
O Fallon MO 63368-2206
Phone: (636) 344-3333
Fax: (636) 344-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 108370 | Missouri |
Profile Details
| NPI number | 1972575439 |
|---|---|
| LBN Legal business name | Agolia, Randy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | May 9th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972575439 | NPPES |
| Missouri | MEDICAID | 200026270 |
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