Eccles, Randy L
Eccles, Randy L is an sole proprietor health care provider with primary practice located at 3975 Virginia Mallory Dr , Chantilly VA 20151-3974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eccles, Randy L can be contacted via phone (703) 272-5794.Contact Information
Primary practice address
3975 Virginia Mallory Dr
Chantilly VA 20151-3974
Phone: (703) 272-5794
Fax: (703) 272-5650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K3573 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101235804 | Virginia |
Profile Details
| NPI number | 1801032602 |
|---|---|
| LBN Legal business name | Eccles, Randy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2008 |
| Last updated | Dec 29th, 2008 - 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.
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