Chadwell, Randy

Chadwell, Randy is an individual health care provider with primary practice located at 2500 Canyon Rd Bldg B , Bullhead City AZ 86442-8624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Chadwell, Randy can be contacted via phone (928) 444-1491.

Contact Information

Primary practice address
2500 Canyon Rd Bldg B Bullhead City AZ 86442-8624
Phone: (928) 444-1491
Fax: (435) 787-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 105209-1206 Utah

Profile Details

NPI number 1295838605
LBN Legal business name Chadwell, Randy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 28th, 2020 - about 5 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 1295838605 NPPES
Utah MEDICAID 000012642

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