Daniel, Randy L

Daniel, Randy L is an individual health care provider with primary practice located at 1025 Wh Smith Blvd Suite 108, Greenville NC 27834-5052. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Daniel, Randy L can be contacted via phone (252) 215-2215.

Contact Information

Primary practice address
1025 Wh Smith Blvd Suite 108 Greenville NC 27834-5052
Phone: (252) 215-2215
Fax: (252) 215-2216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO02290 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO02290 Delaware

Profile Details

NPI number 1306163860
LBN Legal business name Daniel, Randy L
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2010
Last updated Jun 10th, 2013 - about 12 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 1306163860 NPPES
Virginia MEDICAID 009190511
Virginia Other 384410

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