Desrochers, Randal P
Desrochers, Randal P is an individual health care provider with primary practice located at 5325 Elliott Dr Suite 104, Ypsilanti MI 48197-8633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Desrochers, Randal P can be contacted via phone (734) 712-8150.Contact Information
Primary practice address
5325 Elliott Dr Suite 104
Ypsilanti MI 48197-8633
Phone: (734) 712-8150
Fax: (734) 712-8151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301044985 | Michigan |
Profile Details
| NPI number | 1740222033 |
|---|---|
| LBN Legal business name | Desrochers, Randal P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 28th, 2011 - about 14 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 | 1740222033 | NPPES |
| Michigan | MEDICAID | 414690710-10 |
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