Brenton, Randall Scott

Brenton, Randall Scott is an individual health care provider with primary practice located at 3121 4Th St Sw , Mason City IA 50401-1581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brenton, Randall Scott can be contacted via phone (641) 423-8861.

Contact Information

Primary practice address
3121 4Th St Sw Mason City IA 50401-1581
Phone: (641) 423-8861
Fax: (641) 423-0727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24386 Iowa

Profile Details

NPI number 1619085727
LBN Legal business name Brenton, Randall Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1619085727 NPPES
Iowa MEDICAID 0261115

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