Doan, C. Randall
Doan, C. Randall is an individual health care provider with primary practice located at 1456 Kaderly St Nw , New Philadelphia OH 44663-1243. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Doan, C. Randall can be contacted via phone (330) 364-8665.Contact Information
Primary practice address
1456 Kaderly St Nw
New Philadelphia OH 44663-1243
Phone: (330) 364-8665
Fax: (330) 364-8667
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 15013 | Ohio |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 15013 | Ohio |
Profile Details
NPI number | 1598731697 |
---|---|
LBN Legal business name | Doan, C. Randall |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | Feb 8th, 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 | 1598731697 | NPPES |
Ohio | Other | 43-00059 | UNITED HEALTHCARE |
Ohio | Other | 487716 | UNITED HEALTHCARE |
Ohio | MEDICAID | 0472653 | UNITED HEALTHCARE |
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