Barnes, Randy Lee

Barnes, Randy Lee is an individual health care provider with primary practice located at 3277 E Louise Dr Ste 410 , Meridian ID 83642-9360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Barnes, Randy Lee can be contacted via phone (208) 489-5800.

Contact Information

Primary practice address
3277 E Louise Dr Ste 410 Meridian ID 83642-9360
Phone: (208) 489-5800
Fax: (208) 489-4065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M9867 Idaho
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X M-9867 Idaho

Profile Details

NPI number 1295811867
LBN Legal business name Barnes, Randy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 21st, 2022 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295811867 NPPES
Idaho MEDICAID 808349300
Idaho MEDICAID 00A889180

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