Falconer, Randall
Falconer, Randall is an sole proprietor health care provider with primary practice located at 1728 N Eastman Rd , Kingsport TN 37664-2371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Falconer, Randall can be contacted via phone (423) 230-6532.Contact Information
Primary practice address
1728 N Eastman Rd
Kingsport TN 37664-2371
Phone: (423) 230-6532
Fax: (423) 230-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD 18839 | Tennessee |
Profile Details
| NPI number | 1104829134 |
|---|---|
| LBN Legal business name | Falconer, Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| 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 | 1104829134 | NPPES |
| Virginia | MEDICAID | 6502512 | |
| Virginia | MEDICAID | 3036752 |
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