Alejo, Randy Simpliciano

Alejo, Randy Simpliciano is an individual health care provider with primary practice located at 6401 Kimball Dr Ste 104 , Gig Harbor WA 98335-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Alejo, Randy Simpliciano can be contacted via phone (253) 853-8050.

Contact Information

Primary practice address
6401 Kimball Dr Ste 104 Gig Harbor WA 98335-1228
Fax: (253) 853-8067
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60290780 Washington

Profile Details

NPI number 1922204775
LBN Legal business name Alejo, Randy Simpliciano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Sep 19th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922204775 NPPES
Washington MEDICAID 2022651

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