Beryl L Randolph,M.D., P.C.

LBN: Beryl L Randolph,M.D., P.C.
Beryl L Randolph,M.D., P.C. is an health care organization with primary practice located at 800 Broadway Suite 100, Fort Wayne IN 46802-2149. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Beryl L Randolph,M.D., P.C. can be contacted via phone (260) 425-3102, or through Randolph, Beryl Lynn via phone (260) 338-2048.

Contact Information

Primary practice address
800 Broadway Suite 100 Fort Wayne IN 46802-2149
Phone: (260) 425-3102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Beryl Lynn Doctor of Medicine (MD)
Phone: (260) 338-2048

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01055463 Indiana

Profile Details

NPI number 1902067598
LBN Legal business name Beryl L Randolph,M.D., P.C.
DBA Doing business as
Authorized official Randolph, Beryl Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2008
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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