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
Fax: (740) 566-4881
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184618027 NPPES
Ohio MEDICAID 2357239

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