Earls, Randy A

Earls, Randy A is an individual health care provider with primary practice located at 700 Sherrill St Suite B, Union City TN 38261-5891. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Earls, Randy A can be contacted via phone (731) 884-3900.

Contact Information

Primary practice address
700 Sherrill St Suite B Union City TN 38261-5891
Phone: (731) 884-3900
Fax: (731) 884-3901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11065 Tennessee

Profile Details

NPI number 1821054669
LBN Legal business name Earls, Randy A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 14th, 2016 - about 9 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 1821054669 NPPES
Other Q47291 UPIN
MEDICAID Q013847 UPIN

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