Cobble, Randall D
Cobble, Randall D is an individual health care provider with primary practice located at 550 Gage Blvd , Richland WA 99352-9532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cobble, Randall D can be contacted via phone (509) 946-7646.Contact Information
Primary practice address
550 Gage Blvd
Richland WA 99352-9532
Phone: (509) 946-7646
Fax: (509) 946-7666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Washington | |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003668 | Washington |
Profile Details
| NPI number | 1225074107 |
|---|---|
| LBN Legal business name | Cobble, Randall D |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 21st, 2018 - about 7 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 | 1225074107 | NPPES |
| Washington | MEDICAID | 1005315 |
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