Chilcote, Randy L
Chilcote, Randy L is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Chilcote, Randy L can be contacted via phone (616) 391-1680.Contact Information
Primary practice address
100 Michigan St Ne
Grand Rapids MI 49503-2560
Phone: (616) 391-1680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 5101011819 | Michigan |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 5101011819 | Michigan |
Profile Details
| NPI number | 1700894235 |
|---|---|
| LBN Legal business name | Chilcote, Randy L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700894235 | NPPES |
| Michigan | Other | P00397047 | RAILROAD MEDICARE |
| Michigan | Other | 930081728 | RAILROAD MEDICARE |
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