Detwiler, Randal K
Detwiler, Randal K is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27599-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Detwiler, Randal K can be contacted via phone (919) 966-8596.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27599-0001
Phone: (919) 966-8596
Fax: (919) 843-5515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | North Carolina |
Profile Details
| NPI number | 1306911177 |
|---|---|
| LBN Legal business name | Detwiler, Randal K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1306911177 | NPPES |
| North Carolina | MEDICAID | 89132GW |
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