Cornwall, Randy Franklin
Cornwall, Randy Franklin is an individual health care provider with primary practice located at 2312 23Rd Street , Spirit Lake IA 51360-1044. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornwall, Randy Franklin can be contacted via phone (712) 336-1960.Contact Information
Primary practice address
2312 23Rd Street
Spirit Lake IA 51360-1044
Phone: (712) 336-1960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02082 | Iowa |
Profile Details
| NPI number | 1619901550 |
|---|---|
| LBN Legal business name | Cornwall, Randy Franklin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 4th, 2007 - about 18 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 | 1619901550 | NPPES |
| Iowa | Other | 40832 | WELLMARK BCBS OF IOWA |
| Iowa | MEDICAID | 1162032 | WELLMARK BCBS OF IOWA |
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