Conn, Andrew Randall

Conn, Andrew Randall is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Conn, Andrew Randall can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD040081E Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA05786900 New Jersey

Profile Details

NPI number 1013921576
LBN Legal business name Conn, Andrew Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 5th, 2020 - about 4 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 1013921576 NPPES
New Jersey MEDICAID 5188709

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