Dearment, Randall L

Dearment, Randall L is an individual health care provider with primary practice located at 902 W Washington St , Athens AL 35611-2438. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Dearment, Randall L can be contacted via phone (256) 216-9777.

Contact Information

Primary practice address
902 W Washington St Athens AL 35611-2438
Fax: (256) 233-9776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101006945 Michigan

Profile Details

NPI number 1538146055
LBN Legal business name Dearment, Randall L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Nov 8th, 2012 - about 13 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 1538146055 NPPES
Michigan MEDICAID 5198640

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