Colucci, Randall A
Colucci, Randall A is an individual health care provider with primary practice located at 75 Hospital Dr Suite 200, Castrop Center, Athens OH 45701-2857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colucci, Randall A can be contacted via phone (740) 566-4880.Contact Information
Primary practice address
75 Hospital Dr Suite 200, Castrop Center
Athens OH 45701-2857
Phone: (740) 566-4880
Fax: (740) 566-4881
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-007244 | Ohio |
Profile Details
NPI number | 1184618027 |
---|---|
LBN Legal business name | Colucci, Randall A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2005 |
Last updated | Sep 23rd, 2010 - about 14 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 | 1184618027 | NPPES |
Ohio | MEDICAID | 2357239 |
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