Cordle, Randolph J
Cordle, Randolph J is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cordle, Randolph J can be contacted via phone (704) 355-2171.Contact Information
Primary practice address
1000 Blythe Blvd
Charlotte NC 28203-5812
Phone: (704) 355-2171
Fax: (704) 355-5736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200501146 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01041556A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 2005-01146 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 2005-01146 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 2005-01146 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2005-01146 | North Carolina |
Profile Details
| NPI number | 1508896903 |
|---|---|
| LBN Legal business name | Cordle, Randolph J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 3rd, 2022 - about 2 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 | 1508896903 | NPPES |
| North Carolina | Other | 140JJ | NCBCBS |
| North Carolina | MEDICAID | N46005 | NCBCBS |
| North Carolina | MEDICAID | 5900951 | NCBCBS |
Popular Providers
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