Belt, Randall L

Belt, Randall L is an individual health care provider with primary practice located at 378 Marketplace Dr Suite 5, Johnson City TN 37604-2361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Belt, Randall L can be contacted via phone (423) 282-0751.

Contact Information

Primary practice address
378 Marketplace Dr Suite 5 Johnson City TN 37604-2361
Phone: (423) 282-0751
Fax: (423) 282-1577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1640 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1756 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1640 Tennessee

Profile Details

NPI number 1265475321
LBN Legal business name Belt, Randall L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 7th, 2021 - about 3 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 1265475321 NPPES
West Virginia MEDICAID 5600582001
West Virginia Other P00285995
West Virginia Other 000688219
West Virginia MEDICAID 005645786
West Virginia MEDICAID 6405640

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