Dennison, Joseph Randall

Dennison, Joseph Randall is an individual health care provider with primary practice located at 991 Medical Park Dr , Maysville KY 41056-8764. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Dennison, Joseph Randall can be contacted via phone (606) 759-9050.

Contact Information

Primary practice address
991 Medical Park Dr Maysville KY 41056-8764
Phone: (606) 759-9050
Fax: (606) 759-4407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22358 Kentucky
Allopathic & Osteopathic Physicians / Urology 208800000X 22358 Kentucky

Profile Details

NPI number 1902803091
LBN Legal business name Dennison, Joseph Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 4th, 2011 - 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 1902803091 NPPES
Kentucky MEDICAID 64223589

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