Falls, Randall Keith
Falls, Randall Keith is an individual health care provider with primary practice located at 4519 Brambleton Ave Suite # 302, Roanoke VA 24018-3436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Falls, Randall Keith can be contacted via phone (540) 772-4448.Contact Information
Primary practice address
4519 Brambleton Ave Suite # 302
Roanoke VA 24018-3436
Phone: (540) 772-4448
Fax: (540) 772-0410
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101041068 | Virginia |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101041068 | Virginia |
Profile Details
NPI number | 1407878846 |
---|---|
LBN Legal business name | Falls, Randall Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Jan 11th, 2010 - 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 | 1407878846 | NPPES |
Virginia | Other | 1508030081 | MEDICAID GIN |
Virginia | MEDICAID | 1407878846 | MEDICAID GIN |
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